Nokea
A client who is receiving buspirone therapy also is receiving digoxin for heart failure. The nurse understands that this client would be at increased risk for which of the following?
- A. Sedation
- B. Respiratory depression
- C. Digitalis toxicity
- D. Central nervous system depression
Correct Answer: C
Rationale: The client faces an increased risk for digitalis toxicity due to the effect of interaction of buspirone with digoxin. Increased risk for sedation and respiratory depression are caused by the interaction of buspirone with tricyclic antidepressants and antipsychotics. Increased risk for central nervous system depression is caused by the interaction of buspirone with alcohol.
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A nurse is administering an antianxiety agent to a client. The nurse understands that long-term use of which of the following anxiolytics would be most likely to lead to physical or psychological tolerance? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Doxepin
Correct Answer: A,D
Rationale: Although long-term use of benzodiazepines such as alprazolam and chlordiazepoxide and nonbenzodiazepines such as buspirone, hydroxyzine, and doxepin can result in physical or psychological dependence, benzodiazepines are more likely to result in physical dependence and tolerance.
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.
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.
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).