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The nurse is reviewing the medication record of a client who is prescribed a nonbenzodiazepine. Which of the following would the nurse expect to find? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Doxepin
Correct Answer: B,C,E
Rationale: Buspirone, doxepin, and hydroxyzine are examples of nonbenzodiazepine antianxiety drugs. Alprazolam and chlordiazepoxide are benzodiazepines.
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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 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 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 suspects that a client is experiencing anxiety. Which physical assessment findings would support the nurse's suspicion? Select all that apply.
- A. Hypotension
- B. Decreased respiratory rate
- C. Increased muscle tension
- D. Pale skin
- E. Bradycardia
Correct Answer: C,D
Rationale: Physiological manifestations of anxiety can include hypertension, tachycardia, increased rate and depth of respirations, increased muscle tension, and cool, pale skin.
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.