Question

A nurse would administer disopyramide cautiously to a client with which condition? Select all that apply.

A) Myasthenia gravis
B) Diabetes
C) Glaucoma
D) Urinary retention
E) Hypothyroidism

Answer 1

Disopyramide should be used cautiously in clients with Myasthenia gravis, Diabetes, Urinary retention, and Hypothyroidism due to the potential for increased adverse effects and exacerbation of these conditions.

Step-by-step explanation:

Disopyramide is a medication that should be administered cautiously to a client with certain conditions due to the potential for adverse reactions or exacerbation of the existing condition. Specifically, the answer to the question is: A) Myasthenia gravis, B) Diabetes, D) Urinary retention, and E) Hypothyroidism. Glaucoma (C) is not included in the list.

Disopyramide is an antiarrhythmic medication which can have cholinergic effects, and with conditions such as Myasthenia gravis, this can exacerbate symptoms like muscle weakness. In the case of Diabetes, disopyramide can cause hyperglycemia, complicating glucose control.

Urinary retention can be aggravated due to the anticholinergic effects of disopyramide, which can inhibit the ability to urinate. Lastly, in individuals with Hypothyroidism, cardiovascular effects can be profoundly altered, requiring caution.