A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?
Chlordiazepoxide
Bupropion
Naltrexone
Clonidine
The Correct Answer is B
Rationale:
A. Chlordiazepoxide: Chlordiazepoxide is a benzodiazepine used primarily to manage alcohol withdrawal symptoms. It has no direct role in smoking cessation and is not commonly prescribed for nicotine dependence.
B. Bupropion: Bupropion is an atypical antidepressant approved for smoking cessation. It reduces nicotine cravings and withdrawal symptoms by acting on the brain’s norepinephrine and dopamine pathways, making it an effective choice for clients trying to quit.
C. Naltrexone: Naltrexone is an opioid antagonist used to treat opioid and alcohol dependence. It does not target nicotine addiction and is not indicated for smoking cessation therapy.
D. Clonidine: Clonidine is occasionally used off-label to manage withdrawal symptoms, including those from nicotine. However, it is not a first-line medication for smoking cessation and is less commonly prescribed for this purpose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Boiled eggs: While eggs contain some iron, they are not known to enhance the absorption of nonheme iron. In fact, certain components in eggs may inhibit iron absorption from plant-based sources.
B. Orange slices: Vitamin C (ascorbic acid) found in citrus fruits like oranges significantly enhances the absorption of nonheme iron by reducing it to a more absorbable form. This makes orange slices an ideal complement to iron-rich plant foods.
C. Cheddar cheese: Dairy products like cheese are low in iron and contain calcium, which can actually compete with iron for absorption in the intestines, reducing its bioavailability rather than enhancing it.
D. Mixed nuts: Although nuts contain some iron, they are also high in phytates, which can inhibit iron absorption. They do not actively enhance nonheme iron uptake and are not the best dietary pairing for this purpose.
Correct Answer is A
Explanation
Rationale:
A. “The client exhibits impulsive behavior.” Impulsivity is a hallmark trait of borderline personality disorder (BPD). Clients may engage in risky behaviors such as substance abuse, binge eating, or reckless driving, often in response to emotional instability and fear of abandonment.
B. “The client is overly concerned about minor details.” This behavior is more characteristic of obsessive-compulsive personality disorder, where clients show perfectionism and a rigid adherence to rules, order, and control over details.
C. “The client might act seductively.” Seductive or provocative behavior is commonly seen in histrionic personality disorder. These clients seek attention and approval through exaggerated emotional expression and flirtatiousness.
D. “The client is exceptionally clingy to others.” Clinginess and an excessive need to be taken care of are features of dependent personality disorder. These individuals have difficulty making decisions independently and fear separation or rejection.
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