A nurse on a mental health unit is caring for a client.

Exhibits

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Bupropion 100 mg, PO three times daily

Levomilnacipran 20 mg PO daily

Citalopram 20 mg PO daily

Fluoxetine 20 mg PO daily

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Potential prescription	Anticipated	Contraindicated
Bupropion 100 mg PO three times daily		✓
Levomilnacipran 20 mg PO daily	✓
Citalopram 20 mg PO daily	✓
Fluoxetine 20 mg PO daily	✓

Rationale

Bupropion 100 mg PO three times daily: Contraindicated
- Bupropion is generally contraindicated for clients with a history of bulimia nervosa due to the increased risk of seizures.
Levomilnacipran 20 mg PO daily: Anticipated
- Levomilnacipran is an SNRI that can be used to treat major depressive disorder and is generally safe for clients with bulimia nervosa.
Citalopram 20 mg PO daily: Anticipated
- Citalopram is an SSRI commonly used to treat major depressive disorder and can be effective for clients with bulimia nervosa.
Fluoxetine 20 mg PO daily: Anticipated
- Fluoxetine is an SSRI that is effective in treating both major depressive disorder and bulimia nervosa.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Fibrinogen level: Fibrinogen is involved in clot formation but is not used to monitor warfarin.

B. INR: INR reflects the client’s clotting tendency and is essential for determining the appropriate warfarin dose. Therapeutic INR ranges typically vary based on the indication (e.g., 2.0–3.0 for atrial fibrillation).

C. Platelet count: Important for assessing bleeding risk, but it does not measure warfarin's efficacy.

D. aPTT: Used to monitor heparin therapy, not warfarin.

Correct Answer is []

Explanation

Potential condition: Systemic lupus erythematosus

Based on the provided information, the client is most likely experiencing Systemic Lupus Erythematosus (SLE). This is suggested by the presence of a macular rash on the cheeks, joint discomfort, fever, and elevated erythrocyte sedimentation rate (ESR).

Actions to Take

Anticipate administering prescribed immunosuppressant medication: This helps manage the autoimmune response and reduce inflammation.
Encourage client to avoid direct sunlight: Sun exposure can exacerbate lupus symptoms and trigger flares.

Parameters to Monitor

Vital signs every 4 hr: Monitoring vital signs helps track the client's overall condition and detect any changes that may indicate complications.
Erythrocyte sedimentation rate: Monitoring ESR helps assess the level of inflammation and the effectiveness of treatment.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?

Correct Answer is B

Explanation

Correct Answer is []

Explanation

A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority?

A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?

A nurse is reviewing the medication administration record of a client. Which of the following prescriptions should the nurse clarify?

A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?

A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strip shows a wavy