The nurse is completing the admission database for a patient admitted with abdominal pain and notes a history of hypertension and glaucoma. Which prescribed medications should the nurse question?
a. Morphine sulfate 4 mg IV
b. Diazepam (Valium) 5 mg IV
c. Betaxolol (Betoptic) 0.25% eyedrops
d. Scopolamine patch (Transderm Scop) 1.5 mg
ANS: D
Scopolamine is a parasympathetic blocker and will relax the iris, causing blockage of aqueous humor outflow and an increase in intraocular pressure. The other medications are appropriate for this patient.
You might also like to view...
The nurse is reviewing data collected during the physical assessment of a 75-year-old client. Which findings should the nurse identify as being age-related changes? (Select all that apply.)
1. Weak heart rate 2. Stooped posture 3. Abdominal obesity 4. Presence of dentures 5. Decreased bowel sounds
Which action by the nurse shows an understanding of integrating evidence-based principles into practice?
A) Creating a care plan and then presenting it to the patient B) Making the best decisions for the patient C) Seeking patient preferences about his care D) Providing written information explaining the patient's care
Thoracic aortic dissection presents typically as
A. Sharp stabbing pain in the mid thorax B. Pleuretic chest pain and dyspnea C. Severe retrosternal chest pain that radiates to the back and both arms D. Unilateral pleuretic chest pain and dyspnea
A patient tells the health care provider that a foot injury occurred while participating in Oktoberfest as a dancer. The patient is explaining which aspect of heritage consistency?
A. Ethnicity B. Culture C. Religion D. Assimilation