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?

Hepatitis B infection

Hypothyroidism

Knee arthroplasty 1 month ago.

Recent head injury

Answer and Explanation

The Correct Answer is D

A. Hepatitis B infection is not a contraindication for prescribing bupropion for smoking cessation.
B. Hypothyroidism is not a contraindication for prescribing bupropion for smoking cessation.

C. Knee arthroplasty 1 month ago does not contraindicate the use of bupropion for smoking cessation.
D. Bupropion is contraindicated in individuals with a recent head injury due to the increased risk of seizures associated with this medication. Therefore, the nurse should report this finding to the provider.

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Correct Answer is B

Explanation

A. While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care.

B. Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others.
C. Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons.
D. Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.

A. Explain implied consent to the client's family. B. Ask the charge nurse to obtain informed consent. C. Contact the facility social worker to obtain the consent. D. Request that the client's guardian sign the consent.

Correct Answer is D

Explanation

A. Explaining implied consent to the client's family does not address the need for obtaining informed consent for a legally incompetent client.
B. Asking the charge nurse to obtain informed consent may not be appropriate, as the responsibility for obtaining consent typically falls on the healthcare provider or a designated individual.
C. While the social worker may be involved in the process of obtaining consent for a legally incompetent client, it is not their sole responsibility, and the nurse should be actively involved in the process.
D. When a client has been declared legally incompetent, consent must be obtained from the client's legally appointed guardian or surrogate decision-maker.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

Correct Answer is B

Explanation

A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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