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?

Hypothyroidism.

Crohn's disease.

Seizure disorder.

Asthma.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole is primarily used to treat conditions like schizophrenia and bipolar disorder and does not directly affect thyroid function.

Choice B rationale:

Crohn's disease is a contraindication for aripiprazole therapy. Aripiprazole has been associated with an increased risk of gastrointestinal adverse effects, including nausea, vomiting, and constipation. In individuals with Crohn's disease, these symptoms may exacerbate the condition or lead to complications.

Choice C rationale:

Seizure disorder is not a contraindication for aripiprazole therapy. Aripiprazole has a relatively lower risk of causing seizures compared to some other antipsychotic medications. However, caution is still advised when using aripiprazole in individuals with a seizure disorder.

Choice D rationale:

Asthma is not a contraindication for aripiprazole therapy. Aripiprazole is not known to exacerbate asthma symptoms. It is important to monitor and manage any adverse effects in patients with asthma, but it is not a direct contraindication.

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Correct Answer is C

Explanation

Choice A rationale:

Acetaminophen is not contraindicated when taken with selegiline. There is no significant interaction between these two medications.

Choice B rationale:

Warfarin is not contraindicated when taken with selegiline. While selegiline may increase the risk of bleeding in combination with other drugs, warfarin itself is not directly contraindicated.

Choice C rationale:

Fluoxetine is contraindicated when taken with selegiline. When these two drugs are used together, there is an increased risk of serotonin syndrome, which can be a life-threatening condition. Serotonin syndrome can cause symptoms such as agitation, hallucinations, rapid heartbeat, fever, muscle stiffness, and tremors.

Choice D rationale:

Calcium carbonate is not contraindicated when taken with selegiline. These two medications do not have significant interactions.

A. Tell the client he cannot refuse the treatment because he was involuntarily committed. B. Document the client's refusal of the treatment in the medical record. C. Inform the client that ECT does not require client consent. D. Ask the client's family to encourage the client to receive ECT.

Correct Answer is B

Explanation

Choice A rationale:

(Statement then rationale) Choice A is not the correct option. Involuntary commitment does not strip a person of their right to refuse treatment. It is essential to respect the client's autonomy and their right to refuse treatment, even in the case of involuntary commitment. This approach promotes ethical and legal principles related to informed consent and patient rights.

Choice C rationale:

(Statement then rationale) Choice C is also not the correct option. Electroconvulsive therapy (ECT) does indeed require client consent. Informed consent is a fundamental aspect of medical treatment, and healthcare providers must obtain the patient's permission before administering any procedure or treatment, including ECT.

Choice D rationale:

(Statement then rationale) Choice D is not the correct answer either. Involving the client's family without their consent is not appropriate. The decision to accept or refuse treatment should remain with the client, and their autonomy should be respected. Coercing the client through their family would be ethically and legally problematic. Now, let's move on to the next question.

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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 reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline.The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

Correct Answer is C

Explanation

A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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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?

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?