Nokea
A client who is prescribed an anxiolytic tells the nurse that she is constipated. Which of the following would be most appropriate for the nurse to suggest? Select all that apply.
- A. Stop taking the drug.
- B. Increase fluid intake.
- C. Increase fiber intake.
- D. Ask to have the drug given by injection.
- E. Take the drug on an empty stomach.
Correct Answer: B,C
Rationale: Clients receiving an anxiolytic should be advised to increase fluid and fiber intake to address constipation. The drug should not be stopped or changed to an injectable form. Taking the drug on an empty stomach may lead to GI upset.
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A client admitted to the health care facility for alcohol withdrawal has been prescribed an antianxiety medication. The nurse instructs the client about the need for cessation of alcohol consumption based on the understanding that the client would be at increased risk for which of the following?
- A. Antianxiety drug toxicity
- B. Respiratory depression
- C. Sedation
- D. CNS depression
Correct Answer: D
Rationale: The nurse should suggest that the client stop consuming alcohol while therapy is going on because such consumption increases the risk for CNS depression. Increased risk for digitalis toxicity is identified when the client is taking digoxin for management of cardiac problems. Increased risk for sedation and respiratory depression is identified when tricyclic antidepressants or antipsychotics are being used simultaneously with an antianxiety agent.
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.
A nurse is reviewing the medical record of a client with anxiety who is to receive an antianxiety agent as part of the treatment. The nurse recognizes that benzodiazepines would not be used based on which of the following conditions. Select all that apply.
- A. Cataracts
- B. Acute narrow-angle glaucoma
- C. Hypotension
- D. Psychoses
- E. Pregnancy
Correct Answer: B,D,E
Rationale: The use of benzodiazepines is contraindicated in clients with known hypersensitivity, psychoses, acute narrow-angle glaucoma, and pregnancy.
A client who was receiving a benzodiazepine for treatment of anxiety tells the nurse that he has decided to discontinue the treatment. Which of the following would the nurse include in the teaching plan for this client?
- A. Be sure to gradually decrease the dosage over time.
- B. It's fine to just stop taking the medication.
- C. You need to first increase the dose and then stop.
- D. It's important that you continue the medication even if you want to stop.
Correct Answer: A
Rationale: The nurse should suggest the client gradually decrease the dosage schedule to avoid withdrawal symptoms. It is not advisable for the nurse to suggest just stopping the medication, increasing the dosage, or continuing with the medication as prescribed.
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.