A patient has been prescribed an oral drug containing atropine. ...

[daltonest1984]

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.
 
  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.

Question 2

Loop diuretics
 
  1. inhibit reabsorption of sodium and chloride in the loop of Henle.
  2. block sodium in the distal and proximal loops.
  3. block aldosterone.
  4. promote excretion of water by adding sodium to the filtrate.

[bigcheese9]

Answer to Question 1

1,2
Rationale 1: Atropine should be used with caution in those who use aloe.
Rationale 2: There is a drugdrug 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 drugdrug interaction between atropine and procainamide. Headache, allergy to penicillin, and gallbladder surgery scheduled for next week do not prevent use of atropine.

Answer to Question 2

1
Rationale 1: Loop diuretics inhibit sodium in the loop of Henle and increase urine output.
Rationale 2: Thiazide diuretics block sodium in the distal tubule and nephron.
Rationale 3: Potassium-sparing diuretics block aldosterone.
Rationale 4: Some miscellaneous diuretics have this mechanism.
Global Rationale: Loop diuretics inhibit sodium in the loop of Henle and increase urine output. Thiazide diuretics block sodium in the distal tubule and nephron. Potassium-sparing diuretics block aldosterone. Some miscellaneous diuretics add sodium to the filtrate.

[daltonest1984]

Thank you!

[bigcheese9]

Always glad to help...