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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a.This option is most appropriate in the context provided, as frequent monitoring is essential for a child in restraints to ensure their safety and well-being.
b.Obtain a prescription for the restraints within 2 hr of initiating them. - This is incorrect because the standard requirement is to obtain a prescription within 1 hour of initiating the restraints, not 2 hours.
c.While range-of-motion exercises are important, they are typically recommended every 2 hours to prevent complications like contractures.
d.The correct procedure is usually to ensure that two fingers can fit between the wrist and the restraint to ensure it's not too tight or too loose.
Correct Answer is ["A","B","C","D"]
Explanation
A.Bradycardia, or a slow heart rate, is a common physiological finding in individuals with anorexia nervosa due to the body's adaptive response to conserve energy. The heart rate may drop below the normal range of 60-100 bpm.
B.Russell's sign refers to calluses or abrasions on the knuckles or back of the hand caused by self-induced vomiting. It's a physical indicator of recurrent vomiting in individuals with bulimia nervosa or severe anorexia nervosa.
C.Lanugo refers to fine, soft hair that grows on the face, back, and arms of individuals with anorexia nervosa. This is the body's attempt to increase warmth due to insufficient body fat, and it's a result of the malnutrition associated with the disorder.
D.Hypotension, or low blood pressure, is often seen in individuals with anorexia nervosa due to decreased cardiac output and volume. This can lead to dizziness, fatigue, and other cardiovascular symptoms.
E.Diarrhea is not a common finding in anorexia nervosa. Clients with anorexia nervosa are more likely to experience constipation due to malnutrition, dehydration, and the body’s reduced metabolic rate.
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