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?

Hypothyroidism.

Knee arthroplasty 1 month ago.

Hepatitis B infection.

Recent head injury.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Hypothyroidism is not directly related to the use of bupropion for smoking cessation. It is essential to consider the client's overall health, but in this context, it is not the most significant concern, so it does not need to be reported immediately.

Choice B rationale:

Knee arthroplasty one month ago is not a contraindication for bupropion use, but it is essential to consider postoperative precautions and mobility. However, it is not the most critical issue related to the client's request for smoking cessation medication, so it does not need immediate reporting.

Choice C rationale:

Hepatitis B infection is a concern but does not necessarily contraindicate the use of bupropion. The nurse should address this issue, but it is not the most urgent concern for the client's request for smoking cessation medication.

Choice D rationale:

Reporting a recent head injury is crucial because bupropion is contraindicated in clients with a history of seizures or conditions that lower the seizure threshold, such as recent head trauma. Seizures are a significant potential side effect of bupropion, and a recent head injury could increase the risk of seizures. Therefore, the nurse should report this finding immediately to ensure the client's safety.

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Correct Answer is D

Explanation

A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications? The correct answer is Choice D: Methylphenidate.

Choice A rationale:

Lithium is not a medication used to treat attention-deficit hyperactivity disorder (ADHD). It is primarily used to manage bipolar disorder.

Choice B rationale:

Valproate is also not a medication typically prescribed for ADHD. It is primarily used for seizure disorders and mood stabilization in conditions like bipolar disorder.

Choice C rationale:

Risperidone is an atypical antipsychotic medication used to treat conditions like schizophrenia and bipolar disorder but is not a first-line treatment for ADHD. It may be considered in cases of severe aggression or agitation associated with ADHD, but it is not the initial choice.

Choice D rationale:

Methylphenidate is a central nervous system stimulant and is one of the most commonly prescribed medications for the treatment of ADHD in children. It helps improve focus and reduce impulsivity and hyperactivity. It is a first-line treatment for ADHD, making it the most appropriate choice for a child with this diagnosis. .

A. "Older adults are usually diagnosed with depressive disorder as they age.”. B. "You shouldn't worry about this because depressive disorder is easily treated.”. C. "Tell me the reasons you think your mother is depressed.”. D. "Everyone gets depressed from time to time.”.

Correct Answer is C

Explanation

Choice A rationale:

"Older adults are usually diagnosed with depressive disorder as they age.”. This choice is not appropriate because it makes a generalized statement about older adults being diagnosed with depressive disorder as they age. While depression can be more common in older adults due to various factors such as health issues and life changes, it's essential to explore the specific reasons for this particular client's symptoms.

Choice B rationale:

"You shouldn't worry about this because depressive disorder is easily treated.”. This choice dismisses the daughter's concerns and oversimplifies the treatment of depressive disorder. Depression can be a complex condition, and not all cases are easily treated. It's important to take the daughter's worries seriously and assess the client's condition thoroughly.

Choice D rationale:

"Everyone gets depressed from time to time.”. This response minimizes the daughter's concerns by suggesting that depression is a common experience for everyone. While it's true that many people may experience occasional sadness, clinical depression is a different matter and should be addressed with more empathy and attention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?

Correct Answer is D

Explanation

An older adult client is brought to the mental health clinic by her daughter.The daughter reports that her mother is not eating and seems uninterested in routine activities.The daughter states, "I'm so worried that my mother is depressed.”. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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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?