Nokea
A nurse is preparing a teaching plan for a client who is prescribed an anxiolytic. As part of the plan, the nurse addresses medications that should be avoided to reduce the risk of increased CNS depression and sedation. Which of the following would the nurse include? Select all that apply.
- A. Alcohol
- B. Analgesics
- C. Digoxin
- D. Tricyclic antidepressants
- E. Antipsychotics
Correct Answer: A,B,D,E
Rationale: Alcohol, analgesics, tricyclic antidepressants, and antipsychotics should be used with caution with anxiolytics due to increased CNS depression and increased risk of sedation.
You may also like to solve these questions
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 preparing to administer an anxiolytic agent via intramuscular injection. Which of the following would be most important for the nurse to keep in mind? Select all that apply.
- A. The client should be monitored closely for 3 hours postinjection.
- B. Intramuscular injection should be given in chronic states.
- C. The client should remain in a lying position for about 30 minutes.
- D. The drug should be administered into a large muscle mass.
- E. The client should be kept conscious for at least 1 hour after administration.
Correct Answer: A,D
Rationale: Intramuscular administration of an anxiolytic should be done primarily in an acute state. The drug should be administered in a large muscle mass, the client should be observed closely for at least 3 hours, and the client should be kept lying down for 30 minutes to 3 hours after drug administration.
A nurse is assigned to care for a hospitalized client with anxiety. Buspirone is prescribed. When reviewing the client's history, which of the following, if found, would the nurse identify as a contraindication for this drug?
- A. Cataract
- B. Diabetic retinopathy
- C. Acute gout
- D. Psychoses
Correct Answer: D
Rationale: The use of buspirone is contraindicated in clients with hypersensitivity, psychoses, and acute narrow-angle glaucoma. Ethambutol is contraindicated in clients with cataracts and diabetic retinopathy. Pyrazinamide is contraindicated in clients with acute gout.
A client is hospitalized and is prescribed diazepam. Before administering the drug, which of the following information should the nurse obtain? Select all that apply.
- A. Complete medical history
- B. Mental status exam
- C. Anxiety level
- D. Pain assessment
- E. Medication history
Correct Answer: A,B,C
Rationale: Before starting anxiolytic therapy in a hospitalized client, the nurse obtains a complete medical history, including mental status and anxiety level.
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.