A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Seizure disorder.
Crohn's disease.
Asthma.
Hypothyroidism.
The Correct Answer is A
The correct answer is choice a. Seizure disorder. Choice A rationale: Seizure disorder is a contraindication for aripiprazole therapy. Aripiprazole, an antipsychotic medication, can lower the seizure threshold, making seizures more likely in susceptible individuals. Thus, it should be used with caution or avoided in patients with a known seizure disorder (NCBI) (NLM.nih.gov). Choice B rationale: Crohn's disease is not a known contraindication for aripiprazole therapy. There is no significant evidence suggesting that aripiprazole exacerbates Crohn's disease or interacts adversely with it. Choice C rationale: Asthma is not a contraindication for aripiprazole. While asthma is a chronic condition that requires careful management, aripiprazole does not typically interfere with asthma medications or exacerbate respiratory symptoms. Choice D rationale: Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole does not have a significant impact on thyroid function, and patients with hypothyroidism can be treated with appropriate thyroid hormone replacement while on aripiprazole.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check the client's condition after the procedure. - This task should not be delegated to assistive personnel (AP) as it requires assessment skills that are within the nurse's scope of practice.
B. Assist the client to ambulate for the first time following the procedure. - This is a task that can be delegated to AP. Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand.
C. Witness the client's signature on the consent for the procedure. - This task must be performed by a nurse or another licensed healthcare provider, as it involves ensuring that the client has given informed consent.
D. Give the client atropine 30 min before the procedure. - Administering medication is within the nurse's scope of practice and should not be delegated to AP.
Correct Answer is B
No explanation
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