A nurse on a mental health unit is caring for a client.

Exhibits

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Bupropion 100 mg, PO three times daily

Levomilnacipran 20 mg PO daily

Citalopram 20 mg PO daily

Fluoxetine 20 mg PO daily

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Potential prescription	Anticipated	Contraindicated
Bupropion 100 mg PO three times daily		✓
Levomilnacipran 20 mg PO daily	✓
Citalopram 20 mg PO daily	✓
Fluoxetine 20 mg PO daily	✓

Rationale

Bupropion 100 mg PO three times daily: Contraindicated
- Bupropion is generally contraindicated for clients with a history of bulimia nervosa due to the increased risk of seizures.
Levomilnacipran 20 mg PO daily: Anticipated
- Levomilnacipran is an SNRI that can be used to treat major depressive disorder and is generally safe for clients with bulimia nervosa.
Citalopram 20 mg PO daily: Anticipated
- Citalopram is an SSRI commonly used to treat major depressive disorder and can be effective for clients with bulimia nervosa.
Fluoxetine 20 mg PO daily: Anticipated
- Fluoxetine is an SSRI that is effective in treating both major depressive disorder and bulimia nervosa.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Ensuring the client has an alert system addresses immediate safety and the risk of falls, which is a priority for a client with mobility impairments.

B. Support groups are beneficial for emotional support but are secondary to physical safety.

C. Transportation resources are important but do not address the urgent need for fall prevention.

D. Home physical therapy is important for recovery but does not immediately ensure the client's safety.

A. "You should take 600 milligrams of ibuprofen every 8 hours for discomfort during an outbreak." B. "Your baby's cord blood will be tested to determine if she has contracted HSV." C. "You can apply a cortisone cream to the lesions twice each day." D. "You will need to have a cesarean birth if there are any visible lesions."

Correct Answer is D

Explanation

A. Ibuprofen is not recommended during pregnancy, particularly in the third trimester, due to potential risks to the fetus.

B. Testing the baby’s cord blood is not a standard method to detect HSV transmission.

C. Cortisone cream is not typically used to treat HSV lesions.

D. Cesarean birth is recommended if there are active lesions at the time of labor to prevent neonatal transmission.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss?

Correct Answer is A

Explanation

A nurse is teaching a client who is pregnant and has genital herpes simplex virus (HSV). Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?

A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?

A nurse is reviewing the medical history of a client who asks about the use of warfarin. The nurse should identify which of the following findings as a contraindication for the administration of this medication?

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A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?

A nurse is teaching a client about a variety of stress management techniques. Which of the following instructions by the nurse is appropriate?