Nokea
A client is brought to the emergency department with suspected overdose of a benzodiazepine. Which of the following should the nurse anticipate administering to counteract the effects of the overdose?
- A. Naloxone
- B. Naltrexone
- C. Flumazenil
- D. Diazepam
Correct Answer: C
Rationale: Flumazenil is the antidote for benzodiazepine toxicity. Naloxone is used to reverse the effects of opioids. Naltrexone is used primarily to treat alcohol dependence and to block the effects of suspected opioids if they are being used by a person undergoing treatment for alcohol dependence. Diazepam is a benzodiazepine and would only increase the client's toxicity.
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Before administering a prescribed anxiolytic to a client, which of the following would the nurse include in the physical assessment of the client? Select all that apply.
- A. Blood pressure
- B. Blood glucose
- C. Pulse
- D. Respiratory rate
- E. Weight
Correct Answer: A,C,D,E
Rationale: The nurse's preadministration physical assessment for the administration of an anxiolytic should include blood pressure, pulse, respiratory rate, and weight.
A nurse is preparing to administer an anxiolytic drug. The nurse integrates knowledge of this group of drugs, understanding that the drugs can be used in the management of which of the following conditions? Select all that apply.
- A. Alcohol withdrawal
- B. Diabetic neuropathy
- C. Seizures
- D. Panic attacks
- E. Hypertension
Correct Answer: A,C,D
Rationale: Anxiolytic drugs can be used in the management of anxiety disorder, panic attacks, convulsions, seizures, and alcohol withdrawal and for preanesthetic sedation and muscle relaxation.
A nurse suspects that a client is experiencing anxiety. Which physical assessment findings would support the nurse's suspicion? Select all that apply.
- A. Hypotension
- B. Decreased respiratory rate
- C. Increased muscle tension
- D. Pale skin
- E. Bradycardia
Correct Answer: C,D
Rationale: Physiological manifestations of anxiety can include hypertension, tachycardia, increased rate and depth of respirations, increased muscle tension, and cool, pale skin.
A nurse is caring for a client who is receiving alprazolam. The nurse would be alert for which of the following as an initial adverse reaction with this drug?
- A. Heartburn
- B. Anorexia
- C. Headache
- D. Allergy
Correct Answer: C
Rationale: The nurse should assess for headache as the initial adverse reaction in the client after administering alprazolam. Heartburn, anorexia, and allergy are adverse reactions observed in the client after administering salicylates.
A client is prescribed a benzodiazepine as treatment for anxiety. After administration of the drug, the client reports dizziness and lightheadedness. Which nursing diagnosis would the nurse identify as a priority?
- A. Impaired Comfort
- B. Risk for Injury
- C. Ineffective Coping
- D. Deficient Knowledge
Correct Answer: B
Rationale: Dizziness and lightheadedness place the client at risk for falls; therefore, Risk for Injury would be the priority. Impaired Comfort would be appropriate if the client reported problems such as dry mouth or constipation. Ineffective Coping would be appropriate if the client reported continued feelings of anxiety. There is no evidence to suggest that the client lacks knowledge of the drug therapy.