Page 2383 - Saunders Comprehensive Review For NCLEX-RN

Reference: Hodgson, Kizior (2018), pp. 262-264.

854. Answer: 2

Rationale: Seizure activity can occur in clients taking bupropion dosages greater
than 450 mg daily. Weight gain is an occasional side effect, whereas constipation is a
common side effect of this medication. This medication does not cause significant
orthostatic blood pressure changes.
Test-Taking Strategy: Focus on the subject, signs of toxicity associated with
bupropion. Note the words excessive amount. These words will direct you to the
correct option, the one that identifies the most serious concern.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Psychotherapeutics: Atypical Antidepressant
Health Problem: Mental Health: Mood Disorders
Priority Concepts: Clinical Judgment; Safety
Reference: Hodgson, Kizior (2018), pp. 162-164.

855. Answer: 3

Rationale: Depressed individuals sleep for long periods, are unable to go to work,
and feel as if they cannot “do anything.” When these clients have had some
therapeutic effect from their medication, they report resolution of many of these
complaints and exhibit an improvement in their appearance. Options 1, 2, and 4
identify continued depression.
Test-Taking Strategy: The client’s behaviors or reports identified in options 1, 2,
and 4 are comparable or alike and are symptoms of depression. The improvement
in appearance indicates a therapeutic response to the medication, indicating
compliance with the medication regimen.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Psychotherapeutics: Tricyclic Antidepressants
Health Problem: Mental Health: Mood Disorders
Priority Concepts: Adherence; Evidence
Reference: Varcarolis (2017), p. 44, 213.

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