Question

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication?

A. Weight gain
B. Insomnia
C. Hypotension
D. Increased appetite

Answer 1

Insomnia is the side effect of bupropion related to smoking cessation. Bupropion can cause increased alertness leading to difficulties in sleeping, which may compound the sleep disturbances often associated with nicotine withdrawal.

Step-by-step explanation:

The nurse should identify insomnia as an adverse effect of bupropion when used as an aid to quit smoking. Bupropion is an antidepressant medication that is also used to help people stop smoking. Common side effects of antidepressants like bupropion can include weight gain, dizziness, loss of sexual desire, dry mouth, agitation, insomnia, and constipation. Additionally, cessation of nicotine use can cause withdrawal symptoms, including sleep disturbances, which bupropion can also exacerbate due to its stimulant effects.

Profuse sweating and increased heart rate may also be observed, but these are more likely to be symptoms of an underlying condition such as hyperthyroidism, rather than direct adverse effects of bupropion. Weight gain and increased appetite are more commonly associated with other medications or conditions, while hypotension is not a recognized side effect of bupropion.