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A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?

Hepatitis B infection.

Knee arthroplasty 1 month ago.

Recent head injury.

Hypothyroidism.

Answer and Explanation

The Correct Answer is C

The correct answer is c. Recent head injury.

Rationale for choice c:

Bupropion lowers the seizure threshold.
Individuals with a history of head injury have an increased risk of seizures.
Administration of bupropion to a client with a recent head injury could significantly elevate the risk of seizure activity.
It's crucial for the provider to be aware of this risk and make an informed decision about whether to prescribe bupropion or consider alternative smoking cessation therapies.

Rationale for choice a:

Hepatitis B infection does not generally contraindicate the use of bupropion.
However, it's important to inform the provider of any underlying medical conditions for comprehensive assessment and management.

Rationale for choice b:

Knee arthroplasty 1 month ago is not a contraindication for bupropion use.
While pain management following surgery might be a consideration, bupropion is not known to interact with common analgesics used post-operatively.

Rationale for choice d:

Hypothyroidism also does not contraindicate bupropion use.
However, thyroid hormone levels should be monitored as bupropion may potentially impact thyroid function in some individuals.

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Correct Answer is C

No explanation

A. Report suspected abuse to Child Protective Services. B. Request that the parent leave the room while interviewing the child. C. Determine the immediate safety needs of the child. D. Ask the child how the injury occurred.

Correct Answer is C

Explanation

The correct answer is Choice C: Determine the immediate safety needs of the child.

Choice A rationale: Reporting suspected abuse to Child Protective Services is an important step in cases of suspected child abuse. However, before taking this action, it is crucial to ensure the immediate safety and well-being of the child. Jumping directly to reporting without assessing the immediate safety needs could potentially put the child at further risk if they are left in a dangerous situation. Therefore, while reporting suspected abuse is necessary, it is not the first action the nurse should take in this scenario.

Choice B rationale: Requesting that the parent leave the room while interviewing the child may be necessary to ensure the child feels comfortable and able to speak freely. However, before conducting the interview, it is essential to address any immediate safety concerns. Additionally, removing the parent from the room may not always be feasible or appropriate, especially if the child requires immediate medical attention or protection. Therefore, while this action may be taken at some point, it is not the first action the nurse should take.

Choice C rationale: Determining the immediate safety needs of the child is the first and most critical action the nurse should take in this scenario. This involves assessing the severity of the injury, evaluating if the child is in immediate danger, and taking any necessary steps to ensure their safety and well-being. This could include providing medical treatment, removing the child from a dangerous environment, or contacting emergency services if needed. By addressing the immediate safety needs first, the nurse can ensure the child's well-being before further investigating the situation.

Choice D rationale: Asking the child how the injury occurred is an important step in gathering information about the incident. However, before conducting the interview, it is essential to prioritize the child's safety and well-being. Jumping directly to questioning without assessing the immediate safety needs could potentially further traumatize the child or put them at risk if they are in a dangerous situation. Therefore, while interviewing the child is necessary, it should not be the first action taken by the nurse.

In conclusion, Choice C, determining the immediate safety needs of the child, is the first action the nurse should take in this scenario to ensure the child's well-being and safety are prioritized.

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A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?

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