A nurse is caring for a client who is taking bupropion (Wellbutrin). Which of the following adverse effects should the nurse monitor for?

Seizures.According to web search results, bupropion (Wellbutrin) is an antidepressant that can lower the seizure threshold and increase the risk of seizures in clients who have a history of head injury, brain tumor, or eating disorders. Therefore, the nurse should monitor the client for any signs of seizure activity and report them to the provider.

Choice A is wrong because hypertension is not a common adverse effect of bupropion.However, bupropion can cause tachycardia, agitation, insomnia, and headache.

Choice B is wrong because bradycardia is not an adverse effect of bupropion.Bupropion can cause tachycardia as a result of its stimulating effect on the central nervous system.

Choice C is wrong because diarrhea is not an adverse effect of bupropion.Bupropion can cause dry mouth, constipation, nausea, and vomiting.

This is because antidepressants like fluoxetine (Prozac) work by increasing the levels of serotonin in the brain, which is a neurotransmitter that regulates mood, sleep, and appetite.However, serotonin levels do not change immediately after taking the medication, and it may take up to 4 to 6 weeks for the full benefits of the drug to occur.

Choice B.“You need to increase your dosage.” is wrong because increasing the dosage of fluoxetine without consulting a health care provider can cause serious side effects, such as serotonin syndrome, which is a potentially life-threatening condition that occurs when there is too much serotonin in the body.

Choice C. “You need to stop taking your medication immediately.” is wrong because stopping fluoxetine abruptly can cause withdrawal symptoms, such as nausea, headache, dizziness, and anxiety.Fluoxetine should be tapered off gradually under the guidance of a health care provider.

Choice D. “Antidepressants do not work for everyone.” is wrong because although antidepressants may not be effective for some people, it is too early to conclude that fluoxetine is not working for this client after only several weeks of treatment.The client should continue taking the medication as prescribed and report any concerns or side effects to the health care provider.