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

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Widened pulse pressure (not narrowed) is associated with increased ICP.

B. Bradycardia (not tachycardia) is commonly seen in increased ICP due to Cushing’s triad.

C. An increasingly severe headache is a key sign of rising ICP due to increased pressure on pain-sensitive structures.

D. Hypertension, not hypotension, is a characteristic of increased ICP.

A. Offer the client three large meals each day. B. Administer a bronchodilator after meals. C. Limit fluid intake with meals. D. Ambulate the client before each meal.

Correct Answer is C

Explanation

A. Offer three large meals: Small, frequent meals are better tolerated.

B. Administer a bronchodilator after meals: Should be given before meals.

C. Limit fluid intake with meals: Reduces gastric distension and improves calorie intake.

D. Ambulate before meals: May increase fatigue and reduce intake.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who experienced a traumatic brain injury 72 hr ago. Which in the client's findings are potential indication of increased intracranial pressure?

Correct Answer is C

Explanation

A nurse is developing a nutritional care plan for a client who has COPD and severe dyspnea. To promote intake, which of the following actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?

A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss?

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

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?

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