A 44-year-old man who is a chronic smoker and takes bupropion takes 10 pills at once in an attempted suicide. Which of the following effects is possible as a result of this overdose?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Seizures. Bupropion is an atypical antidepressant that can lower the seizure threshold, especially in cases of overdose. This medication is known to increase the risk of seizures, particularly at higher doses. In the context of a suicide attempt involving a significant overdose of bupropion, the individual is at high risk for experiencing seizures due to the drug's impact on the central nervous system. Option A) Dry mouth is a common side effect of bupropion but is not typically associated with overdose-related effects such as seizures. Option B) Nervousness is another common side effect of bupropion but does not directly relate to the potential consequences of a significant overdose. Option D) Sexual dysfunction is also a known side effect of bupropion but is not a typical outcome of an overdose situation. Educationally, understanding the potential effects of medication overdose is crucial for healthcare providers, especially in emergency situations. Recognizing the signs and symptoms of overdose, such as seizures in the case of bupropion, is vital for prompt and appropriate intervention to prevent further harm to the individual. Pharmacology knowledge, including understanding the mechanisms of action and side effects of medications, is essential for safe and effective patient care.

Correct Answer: A

Rationale: Albuterol, a bronchodilator for asthma or COPD, is inhaled to target lung airways directly. Choice A explains that inhalation allows rapid absorption via the lungs' rich blood supply, providing quicker relief (within minutes) compared to oral pills, which undergo slower gastrointestinal absorption. Choice B falsely claims pills can't help; oral bronchodilators exist but act slower. Choice C exaggerates side effect differences; inhaled albuterol minimizes systemic effects, but pills aren't inherently riskier. Choice D oversimplifies efficacy without context. The nurse's best response (A) accurately addresses the patient's question with pharmacokinetic reasoning, enhancing understanding and compliance.

Correct Answer: A

Rationale: In the context of administering oxytocin (Pitocin) for labor induction, the most likely assessment finding that would prompt the nurse to stop the infusion is option A: Uterine contractions are continuous and sustained. This finding indicates uterine hyperstimulation, which can lead to fetal distress due to decreased placental perfusion. Stopping the infusion allows the uterus to rest and prevents potential harm to the fetus. Option B is incorrect because entering transition is a normal part of labor progression and does not necessitate stopping the oxytocin infusion. Option C is incorrect as strong uterine contractions are expected during labor induction with oxytocin. Option D is also incorrect as contractions every 2 to 3 minutes lasting 40 to 60 seconds are within the expected range during labor induction, and do not indicate hyperstimulation. Educationally, understanding the potential risks of uterine hyperstimulation with oxytocin is crucial for nurses caring for laboring patients. Recognizing the signs of uterine hyperstimulation and knowing when to intervene by stopping the oxytocin infusion is essential to ensure the safety of both the mother and the fetus during labor induction.

Correct Answer: C

Rationale: Levodopa/carbidopa treats Parkinson's by increasing dopamine, but vasodilation risks orthostatic hypotension. Rising slowly prevents falls, a key instruction for safety. High-protein meals reduce levodopa absorption via amino acid competition, decreasing efficacy. Dark urine isn't a typical concern'harmless pigment changes occur. Stopping if feeling better risks symptom return, as it's not a cure. Rising slowly aligns with the drug's side effect profile, critical in Parkinson's where mobility is impaired, making C the essential teaching point to ensure client stability and adherence.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.