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.

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

Explanation

Finding	Improved	Not changed
Heart rate		✓
Blood pressure	✓
Edema	✓
Deep tendon reflexes	✓

Rationale

Heart rate: Not changed
- The heart rate increased from 72/min to 90/min, indicating no improvement.
Blood pressure: Improved
- The blood pressure decreased from 166/110 mm Hg to 152/90 mm Hg, indicating improvement.
Edema: Improved
- The edema decreased from +3 pitting to +2 pitting, indicating improvement.
Deep tendon reflexes: Improved
- The patellar reflex decreased from 4+ to 2+, indicating improvement.

A. Increased pain B. Hyperglycemia C. Hypoventilation D. Somnolence

Correct Answer is A

Explanation

A. Increased pain: Naloxone is an opioid antagonist and will reverse the analgesic effects of the opioid, likely leading to increased pain in the client.

B. Hyperglycemia: Incorrect. Naloxone does not typically cause changes in glucose metabolism.

C. Hypoventilation: Incorrect. Naloxone reverses respiratory depression, so hypoventilation is not expected after its administration.

D. Somnolence: Incorrect. Naloxone should reverse somnolence caused by opioids, leading to more alertness.

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Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is caring for a client who has respiratory depression from an opioid administration. After administering naloxone to the client, which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?

A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump. Which of the following statements by the client indicates an understanding of the teaching?

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