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?

Hypothyroidism

Knee arthroplasty 1 month ago

Hepatitis B infection

Recent head injury

Answer and Explanation

The Correct Answer is D

Bupropion is contraindicated in clients who have a history of seizures or head trauma, as it can lower the seizure threshold and increase the risk of adverse effects.

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Correct Answer is A

Explanation

The nurse should respect the client's autonomy and inform them of their right to refuse treatment, even if it is against medical advice. The nurse should also explore the reasons for the refusal and provide information and support as needed. The other options are not appropriate as they do not respect the client's decision or may violate their privacy.

A. The client states that he is unable to eat more than once a day. B. The client frequently recalls negative experiences that occurred during his marriage. C. The client relates that he is angry that the provider did not save his partner's life. D. The client says he feels guilty about not spending more time with his partner.

Correct Answer is A

Explanation

The nurse's priority is to address the client's physical needs, such as nutrition and hydration, which are essential for survival and recovery. The client who is unable to eat more than once a day is at risk for malnutrition, dehydration, and electrolyte imbalance, which can lead to serious complications. The other findings indicate emotional distress and grief, which are also important to address, but not as urgent as the client's physical health.

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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

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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