Nokea
An older adult client is experiencing anxiety. Which anxiolytic drug would the nurse identify as being relatively safe to administer to this client at a normal dose? Select all that apply.
- A. Buspirone
- B. Lorazepam
- C. Oxazepam
- D. Alprazolam
- E. Diazepam
Correct Answer: A,B,C
Rationale: Lorazepam, oxazepam, and buspirone are relatively safer for older adult clients when given at normal doses.
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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 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 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.
The nurse is assessing an infant at a well-child visit and notices that the infant has been losing weight and is lethargic. The mother is breastfeeding the child. The nurse questions the mother about any medications that she might be taking. Which of the following, if being taken by the mother, would alert the nurse to a problem? 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 taken by a breastfeeding mother can result in lethargy and weight loss in the infant. Buspirone and hydroxyzine do not appear to have the same effect.