Nokea
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.
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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).
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.
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 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.