NCLEX PN Practice Questions Practice Question
A client is scheduled for a cataract extraction. Preoperatively, 1% atropine is instilled into the client's right eye. The nurse knows that this drug would be contraindicated if the client also had which of the following conditions?
Correct Answer: D
Rationale: Atropine is an anticholinergic agent that dilates the pupil and can increase intraocular pressure, making it contraindicated in clients with glaucoma. In glaucoma, particularly closed-angle glaucoma, this increase can exacerbate the condition and lead to severe complications.
Bradycardia (A) can be affected by atropine, but it is not a contraindication; in fact, atropine is sometimes used to treat bradycardia. Hypothyroidism (B) and diabetes (C) do not directly interact with atropine in a way that would contraindicate its use. Thus, the presence of glaucoma is the only condition listed that necessitates avoidance of atropine use.
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