A nurse is caring for a client who is taking bupropion (Wellbutrin). Which of the following adverse effects should the nurse monitor for?
Hypertension
Bradycardia
Diarrhea
Seizures.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
• Venlafaxine (Effexor) is a serotonin-norepinephrine reuptake inhibitor (SNRI) that can causeorthostatic hypotension, which is a drop in blood pressure when changing positions.Therefore, the client shouldchange positions slowlyto prevent dizziness or fainting.
• Venlafaxine (Effexor) can also increase the risk ofbleedingwhen combined with alcohol or other drugs that affect blood clotting.Therefore, the client shouldavoid alcoholwhile taking this medication.
• Venlafaxine (Effexor) can causenausea, especially when taken on an empty stomach.Therefore, the client shouldtake it with foodto reduce this adverse effect.
• Venlafaxine (Effexor) comes in both immediate-release and extended-release forms.
The extended-release tablets are designed to release the drug slowly over time and should not be altered.Therefore, the client shouldnot crush or chew extended-release tabletsas this can affect the drug’s absorption and effectiveness.
Choice E is wrong because taking venlafaxine (Effexor) at bedtime can causeinsomniadue to its stimulating effects on the central nervous system.Therefore, the client should take it in the morning or early afternoon.
Correct Answer is C
Explanation
The correct answer is choice C. Diarrhea.Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) that can cause gastrointestinal disturbances such as nausea, vomiting, and diarrhea.
The nurse should monitor the client for these adverse effects and advise them to take the medication with food and increase their fluid intake.
Choice A is wrong because hypertension is not a common adverse effect of fluoxetine.Fluoxetine can cause hypotension, especially when taken with other antihypertensive medications.
Choice B is wrong because bradycardia is not a common adverse effect of fluoxetine.Fluoxetine can cause tachycardia, palpitations, and arrhythmias in some cases.
Choice D is wrong because urinary retention is not a common adverse effect of fluoxetine.Fluoxetine can cause urinary frequency, urgency, and incontinence in some cases.
Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for respiratory rate are 12 to 20 breaths per minute.
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