Nokea
A client who experiences panic attacks in social situations has been prescribed an antianxiety medication. The nurse would assess which of the following before administering the drug?
- A. Temperature
- B. Blood pressure
- C. Blood sugar
- D. Red blood cell count
Correct Answer: B
Rationale: The nurse should check the client's blood pressure before administering the antianxiety drug because physiologic manifestations of panic attacks can include increased blood pressure. Temperature, blood sugar, and RBC count are not adversely affected by antianxiety drugs.
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A client who is receiving a benzodiazepine tells the nurse that his mouth feels really dry. Which of the following would the nurse include in the teaching plan for this client?
- A. Try drinking about 8 ounces of water at least every 2 hours.
- B. Sucking on hard sugarless candy might help you.
- C. Make sure you eat a lot of green leafy vegetables.
- D. Change your position slowly as you get out of bed.
Correct Answer: B
Rationale: For dry mouth, the nurse should suggest sucking on hard, sugarless candies or chewing sugarless gum. Frequent sips of water would also help, but drinking 8 ounces of water every 2 hours could lead to fluid overload. Eating green leafy vegetables would help with constipation. Changing positions slowly would be appropriate if the client reported dizziness or lightheadedness.
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.
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 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.
During assessment of a client, a nurse suspects that the client is experiencing anxiety. Which of the following would support the nurse's suspicion? Select all that apply.
- A. Facial flushing
- B. Tense posture
- C. Extreme restlessness
- D. Somnolence
- E. Facial grimaces
Correct Answer: B,C,E
Rationale: During the intake history, the nurse observes the client for behavioral signs indicating anxiety (e.g., inability to focus, extreme restlessness, facial grimaces, tense posture).