A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

BUN 16 mg/dL.

Neuropathy.

WBC count 13,000/mm².

Hypertension.

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. WBC count 13,000/mm².

Choice A rationale:

A BUN (Blood Urea Nitrogen) level of 16 mg/dL is within the normal range (7-20 mg/dL) and does not indicate an increased risk for delirium.

Choice B rationale:

Neuropathy, while a significant condition, is not directly associated with an increased risk of delirium. Delirium is more commonly linked to acute changes in health status.

Choice C rationale:

An elevated WBC count of 13,000/mm² indicates an infection or inflammation, which can increase the risk of delirium, especially in older adults or those with compromised health.

Choice D rationale:

Hypertension is a chronic condition that does not directly increase the risk of delirium. Delirium is more often associated with acute medical conditions or changes.

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Correct Answer is C

Explanation

The correct answer is c. Recent head injury.

Rationale for choice c:

Bupropion lowers the seizure threshold.
Individuals with a history of head injury have an increased risk of seizures.
Administration of bupropion to a client with a recent head injury could significantly elevate the risk of seizure activity.
It's crucial for the provider to be aware of this risk and make an informed decision about whether to prescribe bupropion or consider alternative smoking cessation therapies.

Rationale for choice a:

Hepatitis B infection does not generally contraindicate the use of bupropion.
However,it's important to inform the provider of any underlying medical conditions for comprehensive assessment and management.

Rationale for choice b:

Knee arthroplasty 1 month ago is not a contraindication for bupropion use.
While pain management following surgery might be a consideration,bupropion is not known to interact with common analgesics used post-operatively.

Rationale for choice d:

Hypothyroidism also does not contraindicate bupropion use.
However,thyroid hormone levels should be monitored as bupropion may potentially impact thyroid function in some individuals.

A. "I'll take my medicine at bedtime because it will make me drowsy.". B. "I need to tell my doctor if I start gaining weight.". C. "This medicine will help me relax and feel less anxious.". D. "I know that I will be able to think more clearly now.".

Correct Answer is D

No explanation

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A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication's effects?

Correct Answer is D

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