A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Seizure disorder.

Crohn's disease.

Asthma.

Hypothyroidism.

Answer and Explanation

The Correct Answer is A

The correct answer is choice a. Seizure disorder. Choice A rationale: Seizure disorder is a contraindication for aripiprazole therapy. Aripiprazole, an antipsychotic medication, can lower the seizure threshold, making seizures more likely in susceptible individuals. Thus, it should be used with caution or avoided in patients with a known seizure disorder (NCBI) (NLM.nih.gov). Choice B rationale: Crohn's disease is not a known contraindication for aripiprazole therapy. There is no significant evidence suggesting that aripiprazole exacerbates Crohn's disease or interacts adversely with it. Choice C rationale: Asthma is not a contraindication for aripiprazole. While asthma is a chronic condition that requires careful management, aripiprazole does not typically interfere with asthma medications or exacerbate respiratory symptoms. Choice D rationale: Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole does not have a significant impact on thyroid function, and patients with hypothyroidism can be treated with appropriate thyroid hormone replacement while on aripiprazole.

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Correct Answer is D

Explanation

The correct answer is choice d. Sore throat. Choice A rationale: A random blood glucose level of 130 mg/dL is slightly elevated but not immediately concerning. It should be monitored, especially since clozapine can cause metabolic changes, but it is not the priority. Choice B rationale: A heart rate of 104/min is slightly elevated and could be a side effect of clozapine, which can cause tachycardia. However, it is not as urgent as other potential side effects. Choice C rationale: Nausea is a common side effect of many medications, including clozapine. While uncomfortable, it is not typically a priority concern unless it leads to severe dehydration or other complications. Choice D rationale: A sore throat can be a sign of agranulocytosis, a potentially life-threatening condition where the white blood cell count drops dangerously low. Clozapine is known to cause this condition, and it requires immediate medical attention.

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 reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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