Nokea
A client receiving antianxiety drug therapy complains of constipation. The nurse understands that this is the result of which of the following?
- A. Excess fibrous food in the diet
- B. Overdose of an antianxiety drug
- C. Slowed intestinal transit time
- D. Oral administration of the drug
Correct Answer: C
Rationale: Constipation results from the action of the antianxiety agents, which slow intestinal transit time. An increased fiber intake would help combat the constipation. Constipation does not result from an overdose of the drug or from oral administration.
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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.
A nurse suspects that a client who is receiving lorazepam may be experiencing benzodiazepine withdrawal based on assessment of which of the following? Select all that apply.
- A. Anxiety
- B. Tremor
- C. Photophobia
- D. Insomnia
- E. Metallic taste
Correct Answer: A,B,C,E
Rationale: Symptoms of benzodiazepine withdrawal include increased anxiety, concentration difficulties, tremor, and sensory disturbances, such as paresthesias, photophobia, hypersomnia, and metallic taste.
A nurse is administering an antianxiety agent that exerts its anxiolytic effects by potentiating the effects of gamma-aminobutyric acid (GABA). Which of the following might the nurse be administering? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Lorazepam
Correct Answer: A,D,E
Rationale: Benzodiazepines like alprazolam, chlordiazepoxide, and lorazepam exert their anxiolytic effects by potentiating the effects of gamma-aminobutyric acid (GABA). Nonbenzodiazepines exert their effects in different ways.
A nurse is caring for an older adult client who is prescribed an antianxiety agent parenterally. Which of the following would be most important for the nurse to do?
- A. Arrange for a blood transfusion.
- B. Provide fiber-rich food.
- C. Provide plenty of fluids.
- D. Have resuscitative equipment ready.
Correct Answer: D
Rationale: The nurse should have resuscitative equipment ready because older adult clients may experience apnea and cardiac arrest during the treatment. Providing fiber-rich food and plenty of fluids is appropriate to prevent constipation and is unrelated to the use of the parenteral route. The need for a blood transfusion would not arise during the treatment.
An older adult client is experiencing anxiety. Which anxiolytic drug would the nurse identify as being relatively safe to administer to this client at a normal dose? Select all that apply.
- A. Buspirone
- B. Lorazepam
- C. Oxazepam
- D. Alprazolam
- E. Diazepam
Correct Answer: A,B,C
Rationale: Lorazepam, oxazepam, and buspirone are relatively safer for older adult clients when given at normal doses.