Difficulty: Medium
Average Score: 91%
Simulated
While being intubated, a client with a head injury experienced bradycardia. Atropine was consequently administered. What assessment should be postponed until all atropine is excreted and no longer exerting an effect?
Correct answer
C
Rationale
The correct answer is C: Brain stem reflexes. Administering atropine, an anticholinergic medication, can temporarily affect brain stem reflexes such as pupillary response, gag reflex, and respiratory drive. These reflexes are crucial in assessing neurological function. Atropine works by blocking the action of acetylcholine, leading to increased heart rate and decreased secretions. Postponing the assessment of brain stem reflexes until the effects of atropine have worn off ensures more accurate evaluation of the client's neurological status. Choices A, B, and D are not affected by atropine and can be assessed without interference.