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The nurse is caring for a client with increased ocular pressure due to open-angle glaucoma. Which diuretic below is used specifically for open-angle glaucoma?

A.

hydrochlorothiazide

B.

furosemide

C.

acetazolamide

D.

spironolactone

Answer and Explanation

The Correct Answer is C

A. Hydrochlorothiazide is a thiazide diuretic that can be used for hypertension and edema but is not specifically indicated for open-angle glaucoma.  

 

B. Furosemide is a loop diuretic used primarily for fluid overload conditions and does not have a specific role in the treatment of open-angle glaucoma.  

 

C. Acetazolamide is a carbonic anhydrase inhibitor that reduces aqueous humor production and is specifically used to lower intraocular pressure in clients with open-angle glaucoma.  

 

D. Spironolactone is a potassium-sparing diuretic used mainly for conditions like heart failure and hypertension, and it is not indicated for the treatment of open-angle glaucoma.


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Correct Answer is D

Explanation

A. Epinephrine is primarily used for anaphylaxis and severe asthma attacks; it is not effective in reversing opioid overdose.

B. Protamine is an antidote for heparin, not for opioid overdose.

C. Flumazenil is a benzodiazepine antagonist and is not indicated for opioid overdose; it can potentially precipitate seizures in patients with mixed drug overdoses.

D. Naloxone is an opioid antagonist specifically indicated for reversing the effects of opioid overdose, including respiratory depression, making it the appropriate choice in this scenario.

Correct Answer is ["D","E","F"]

Explanation

A. Excessive sweating is not typically associated with anticholinergic medications like scopolamine; in fact, these medications can lead to decreased sweating.

B. Bradycardia can occur with certain medications but is more commonly associated with other drug classes rather than scopolamine, which typically causes tachycardia.

C. Diarrhea is not a common side effect of scopolamine; instead, anticholinergics often cause constipation.

D. Urinary retention is a known side effect of scopolamine due to its anticholinergic properties, which can affect bladder function.

E. Constipation is a common side effect of anticholinergic medications, including scopolamine.

F. Dry mouth is another common side effect due to decreased salivary secretions resulting from anticholinergic activity.

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