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.
Knee arthroplasty 1 month ago.
Recent head injury.
Hypothyroidism.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a.This option is most appropriate in the context provided, as frequent monitoring is essential for a child in restraints to ensure their safety and well-being.
b.Obtain a prescription for the restraints within 2 hr of initiating them. - This is incorrect because the standard requirement is to obtain a prescription within 1 hour of initiating the restraints, not 2 hours.
c.While range-of-motion exercises are important, they are typically recommended every 2 hours to prevent complications like contractures.
d.The correct procedure is usually to ensure that two fingers can fit between the wrist and the restraint to ensure it's not too tight or too loose.
Correct Answer is D
Explanation
A. Manage conflict within the group.Conflict management is an important skill for a group facilitator, but it is generally more applicable during the working phase of the group when members begin to express differing opinions and emotions.
B. Encourage the use of problem-solving skills.While encouraging problem-solving is beneficial for group members, this intervention is more appropriate for later phases of the group process, once rapport is established and members are actively discussing their issues.
C. Maintain the group's focus on identified issues.Keeping the group focused on specific issues is important for effective group work. However, in the orientation phase, the primary goal is to introduce the group, establish guidelines, and build relationships.
D. Establish a rapport with group members.In the orientation phase of a support group, the nurse's primary objective is to establish trust and build rapport. Creating a supportive and welcoming environment is essential for adolescents, as it sets the stage for open communication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
