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 B

Explanation

The correct answer is choice B. Blood pressure.

Choice A rationale:

Bowel sounds. While assessing bowel sounds can be a part of a comprehensive physical assessment, it is not directly related to the interaction between phenelzine and pepperoni pizza. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. It does not have a known interaction with the digestive system that would necessitate monitoring bowel sounds after eating pepperoni pizza.

Choice B rationale:

Blood pressure. This is the correct choice. Phenelzine can interact with tyramine, a substance found in certain foods like pepperoni. This interaction can lead to a hypertensive crisis, a sudden and severe increase in blood pressure. Therefore, after the client reports eating pepperoni pizza, the nurse should assess the client’s blood pressure to monitor for this potential reaction.

Choice C rationale:

Oxygen saturation. While oxygen saturation is an important vital sign, it is not directly affected by the interaction between phenelzine and pepperoni pizza. Therefore, it would not be the most relevant assessment in this situation.

Choice D rationale:

Pupil response. Pupil response can be an indicator of neurological status, but it is not directly related to the interaction between phenelzine and pepperoni pizza. Therefore, it would not be the most relevant assessment in this situation.

A. Aspartate aminotransferase 40 units/L. B. WBC 6,000/mm3. C. Sodium 132 mEq/L. D. Calcium 10.0 mg/dL.

Correct Answer is C

Explanation

Choice A rationale:

Aspartate aminotransferase (AST) is not directly related to lithium toxicity. Elevated AST levels are indicative of liver dysfunction or damage, not lithium toxicity.

Choice B rationale:

White blood cell (WBC) count within the normal range (6,000/mm3) is not a specific indicator of lithium toxicity. It is essential to focus on electrolyte and renal function parameters when assessing lithium toxicity.

Choice C rationale:

Low serum sodium levels (132 mEq/L) can place the client at risk for lithium toxicity. Hyponatremia, often caused by lithium-induced nephrogenic diabetes insipidus, can lead to impaired lithium excretion and increased risk of toxicity.

Choice D rationale:

A calcium level of 10.0 mg/dL is within the normal range and is not directly associated with lithium toxicity. Lithium toxicity primarily affects sodium levels, as mentioned earlier.

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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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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

Correct Answer is B

Explanation

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Correct Answer is C

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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?