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.

Answer and Explanation

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.

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Correct Answer is A

No explanation

A. Bowel sounds. B. Blood pressure. C. Oxygen saturation. D. Pupil response.

Correct Answer is B

Explanation

The correct answer is Choice b, Blood pressure.

Rationale for Choice a, Bowel sounds:

Bowel sounds are not directly relevant to the potential interaction between phenelzine and pepperoni pizza.
While assessing bowel sounds is a part of a comprehensive nursing assessment,it would not be the top priority in this specific scenario.
Phenelzine does not typically cause gastrointestinal disturbances that would warrant immediate assessment of bowel sounds.

Rationale for Choice c, Oxygen saturation:

Oxygen saturation is not directly affected by the interaction between phenelzine and pepperoni pizza.
Assessing oxygen saturation would be more pertinent in situations involving respiratory distress or hypoxia.
There is no evidence to suggest that this interaction would cause respiratory depression or compromise oxygen saturation levels.

Rationale for Choice d, Pupil response:

Pupil response is not a reliable indicator of the potential complications associated with phenelzine and tyramine-rich foods.
It's primarily assessed for neurological conditions or drug intoxication affecting the central nervous system.
The interaction between phenelzine and tyramine primarily affects the cardiovascular system,not the neurological system.

Rationale for Choice b, Blood pressure:

Blood pressure is the most critical assessment in this scenario due to the potential for a hypertensive crisis.
Phenelzine is a monoamine oxidase inhibitor (MAOI),which blocks the breakdown of tyramine,a substance found in certain foods like pepperoni,aged cheeses,and fermented products.
When tyramine levels increase,it can trigger a sudden and severe rise in blood pressure,known as a hypertensive crisis.
Symptoms of a hypertensive crisis can include:
- Severe headache
- Neck stiffness
- Chest pain
- Nausea
- Vomiting
- Blurred vision
- Sweating
- Photophobia (sensitivity to light)
- Palpitations
- Anxiety
- Confusion
- Seizures
- Stroke
- Potentially death
Prompt assessment of blood pressure is crucial for early detection and intervention to prevent these life-threatening complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?

Correct Answer is A

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

Correct Answer is B

Explanation

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