A patient has been prescribed an oral drug containing atropine. The nurse would hold the drug and contact the prescriber if which patient statements are made? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

Question

1. "I would like to wait a few minutes to take this as I just drank some aloe juice."
2. "Can I take this at the same time as my procainamide?"
3. "I have had a headache this morning."
4. "I am allergic to penicillin."
5. "My gallbladder surgery is scheduled for next week."

Answer 1

1,2
Rationale 1: Atropine should be used with caution in those who use aloe.
Rationale 2: There is a drug–drug interaction between atropine and procainamide.
Rationale 3: Headache does not prevent use of atropine.
Rationale 4: Allergy to penicillin does not prevent use of atropine.
Rationale 5: Gallbladder surgery for next week would not prevent use of atropine.

Global Rationale: Atropine should be used with caution in those who use aloe. There is a drug–drug interaction between atropine and procainamide. Headache, allergy to penicillin, and gallbladder surgery scheduled for next week do not prevent use of atropine.