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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?

Hepatitis B infection.

Knee arthroplasty 1 month ago.

Recent head injury.

Hypothyroidism.

Answer and Explanation

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.

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Free Nursing Study Resources

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.

A. Identify and schedule alternative group activities for the client. B. Keep a bright light on in the client's room at night. C. Discourage the client from expressing feelings of anger. D. Encourage physical activity for the client during the day.

Correct Answer is A

No explanation

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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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