Nokea
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.
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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.
After teaching a group of nursing students about antianxiety drugs, the instructor determines that the teaching was successful when the students identify which as an example? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Lorazepam
Correct Answer: A,D,E
Rationale: Alprazolam, chlordiazepoxide, and lorazepam are examples of benzodiazepine antianxiety drugs. Buspirone and hydroxyzine are considered nonbenzodiazepines.
A client is prescribed lorazepam. The nurse understands that this drug can be given by which route? Select all that apply.
- A. Intramuscular
- B. Oral
- C. Transdermal
- D. Intravenous
- E. Rectal
Correct Answer: A,B,D
Rationale: Lorazepam can be administered to a client via the oral, IM, and IV routes.
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.
After administering an anxiolytic, the nurse assesses the client for adverse reactions. Which of the following would the nurse identify as a common early reaction to this group of drugs? Select all that apply.
- A. Headache
- B. Sedation
- C. Lightheadedness
- D. Dizziness
- E. Hypertension
Correct Answer: A,B,C,D
Rationale: Common early reactions caused by anxiolytics include mild drowsiness, sedation, lightheadedness, dizziness, and headache.