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

Choice A rationale:

Hemoglobin levels at 16 g/dL are within the normal range for an adult, so there is no need to report this result to the provider.

Choice B rationale:

A white blood cell (WBC) count of 8,000/mm3 is within the normal range, and there is no need to report this result to the provider.

Choice C rationale:

An RBC count of 4.9 million/mm² is within the normal range for adults, so it does not require reporting to the provider.

Choice D rationale:

A platelet count of 100,000/mm3 is below the normal range (typically 150,000-450,000/mm3). This lower platelet count can increase the risk of bleeding and may be associated with clonazepam use. Therefore, it should be reported to the provider for further evaluation and potential adjustment of the medication.

A. A client who has a history of dependent personality disorder. B. A client who has moderate-stage Alzheimer's disease. C. A client who has schizotypal personality disorder. D. A client who has a history of alcohol use disorder.

Correct Answer is B

Explanation

Choice A rationale:

A client with a history of dependent personality disorder does not necessarily require close placement to the nurse's station for safety reasons. The primary concern in this case is not related to Alzheimer's or potential wandering, so placing this client closer to the nurse's station is not warranted.

Choice B Reason: A client who has moderate-stage Alzheimer’s disease.This client should be placed closest to the nurse’s station because individuals with moderate-stage Alzheimer’s disease may experience confusion, memory loss, and wandering, which can lead to safety concerns. Close proximity to the nurse’s station allows for better supervision and prompt intervention.

Choice C rationale:

A client with schizotypal personality disorder may have unique care needs, but these typically do not require placement close to the nurse's station. The primary concern in this case is not related to the safety or wandering associated with Alzheimer's disease.

Choice D rationale:

A client with a history of alcohol use disorder may require monitoring and support but does not necessarily need to be placed close to the nurse's station solely based on this history. The primary concern is not related to Alzheimer's disease or safety due to wandering. In a healthcare setting, clients with Alzheimer's disease often experience confusion and may wander, creating a risk of harm to themselves. Placing a client with moderate-stage Alzheimer's disease close to the nurse's station allows for better supervision and prompt response to any safety concerns. Therefore, it is the most appropriate choice for close placement. .

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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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Correct Answer is B

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?