A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?

Be aware that difficulty sleeping and weight loss may occur.

Notify the healthcare provider if experiencing changes in taste.

Administer each dose with at least 8 ounces of water.

Consume tyramine-free foods while taking the medicine.

Answer and Explanation

The Correct Answer is A

Choice A reason: Bupropion is known to cause side effects such as insomnia and weight loss. These side effects are due to its stimulant properties, which can interfere with sleep patterns and suppress appetite1. Patients should be informed about these potential side effects so they can monitor their symptoms and seek medical advice if necessary.

Choice B reason: While changes in taste can occur with some medications, it is not a common side effect of bupropion. Therefore, it is not necessary to specifically instruct patients to notify their healthcare provider about changes in taste when taking bupropion.

Choice C reason: There is no specific requirement to administer bupropion with 8 ounces of water. Bupropion can be taken with or without food, and the amount of water consumed with the medication does not impact its effectiveness.

Choice D reason: Consuming tyramine-free foods is crucial for patients taking monoamine oxidase inhibitors (MAOIs) due to the risk of hypertensive crisis. However, bupropion is not an MAOI, so this dietary restriction is not applicable.

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Correct Answer is A

Explanation

Choice A reason:

Those with allergies to chamomile, ragweed, or yarrow should not take feverfew because feverfew belongs to the Asteraceae/Compositae family, which includes these plants. Individuals allergic to these plants may experience allergic reactions to feverfew, such as skin rashes, swelling, and difficulty breathing. It is crucial to avoid feverfew in these cases to prevent severe allergic reactions.

Choice B reason:

Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs), but this is not the most critical information compared to potential allergic reactions. Feverfew can inhibit platelet aggregation, which may increase the risk of bleeding when taken with NSAIDs or aspirin. However, the primary concern remains the potential for severe allergic reactions in sensitive individuals.

Choice C reason:

Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew, but these side effects are generally mild and manageable. While it is important to inform clients about possible gastrointestinal side effects, the risk of allergic reactions in individuals sensitive to chamomile, ragweed, or yarrow is more critical.

Choice D reason:

Increased anxiety and nervousness have been reported by those taking feverfew, but these side effects are less common and typically not severe. The primary concern should be the potential for allergic reactions, which can be life-threatening.

A. Decreased episodes of incontinence. B. Improved ability to concentrate. C. Exhibits fewer emotional outbursts. D. Sleeps soundly through the night.

Correct Answer is D

Explanation

Choice A reason: Zolpidem is primarily prescribed for the short-term treatment of insomnia. It works by enhancing the activity of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) at the GABA-A receptor, which helps to induce sleep. While improved sleep can indirectly affect other conditions, such as incontinence, decreased episodes of incontinence are not a direct outcome of zolpidem administration.

Choice B reason: Improved ability to concentrate is not a primary outcome of zolpidem treatment. Zolpidem is a sedative-hypnotic medication used to treat insomnia by helping patients fall asleep faster and stay asleep longer. While better sleep can improve overall cognitive function, the primary goal of zolpidem is to improve sleep quality, not directly enhance concentration.

Choice C reason: Exhibiting fewer emotional outbursts is not a direct effect of zolpidem. The medication is designed to treat insomnia and does not have a significant impact on emotional regulation. Emotional outbursts may be related to other underlying conditions that zolpidem does not address.

Choice D reason: The primary desired outcome of zolpidem administration is to help the patient sleep soundly through the night. Zolpidem is effective in reducing sleep latency and increasing the duration of sleep, which is particularly beneficial for older adults who may have difficulty maintaining sleep. Achieving a full night’s rest is the main indicator that zolpidem is working as intended.

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A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?

Correct Answer is A

Explanation

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

Correct Answer is D

Explanation

Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?

A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500 mg PO twice daily. Which action should the nurse take?

A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?

A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

A client is receiving tamsulosin, an alpha-adrenergic blocking agent, for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?

When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the client’s upper back and the client denies pain. Which action should the nurse take?