Ch. 20 PrepU questions

A client is prescribed an anxiolytic agent. What would be most important for the nurse to include in the teaching? 1."Take the drug with meals if necessary." 2."Be sure not to stop the drug abruptly." 3."Increase the amount of fiber in your diet." 4."Try other measures to help you relax, too."

2."Be sure not to stop the drug abruptly."

The nurse is doing a physical assessment on admission of a client diagnosed with elevated blood pressure due to anxiety. What are the most important physical assessments for a nurse to perform? Select all that apply. 1.Skin temperature and color 2. Respiratory Rate 3.Blood pressure 4.Hair texture 5.Bowel sounds

1.Skin temperature and color 2. Respiration Rate 3.Blood pressure

Which agent has no sedative, anticonvulsant, or muscle relaxant properties but does reduce the signs and symptoms of anxiety? 1.Buspirone 2.Meprobamate 3.Diphenhydramine 4.Zaleplon

1.Buspirone

The nurse is providing health education to a client who has been prescribed a barbiturate. The nurse should describe what mechanism of action? 1.Depression of the cerebral cortex 2.Enhancement of motor output 3.Effect on action potentials 4.Enhancement of action of GABA

1.Depression of the cerebral cortex

What exerts its anxiolytic effects by potentiating the effects of gamma-aminobutyric acid (GABA)? (Select all that apply.) 1.Buspirone (BuSpar) 2.Alprazolam (Xanax) 3.Hydroxyzine (Atarax) 3.Chlordiazepoxide (Librium) 4.Lorazepam (Ativan)

2.Alprazolam (Xanax) 3.Chlordiazepoxide (Librium) 4.Lorazepam (Ativan)

The nurse is caring for a client who is receiving an intravenous barbiturate. What assessment should the nurse prioritize? 1.Oxygen saturation 2.Blood pressure 3.Anaphylaxis 4.Assessment for bleeding

2.Blood pressure

Which drug used to treat anxiety would be appropriate for a client who is a school teacher and is concerned about feeling sedated at work? 1.Alprazolam (Xanax) 2.Buspirone (BuSpar) 3.Diazepam (Valium) 4.Lorazepam (Ativan)

2.Buspirone (BuSpar)

An older adult client is prescribed a sedative for the treatment of insomnia. The nurse would suspect that the client is experiencing an adverse reaction to the drug based on assessment of which of the following? 1.Stress 2.Confusion 3.Anxiety 4.Headache

2.Confusion

A group of nursing students answers correctly if they identify which medication as the prototype benzodiazepine? 1.Clonazepam (Klonopin) 2.Diazepam (Valium) 3.Alprazolam (Xanax) 4.Lorazepam (Ativan)

2.Diazepam (Valium)

A client is receiving a barbiturate intravenously. The nurse would monitor the client for: 1.tachypnea. 2.bradycardia. 3.bleeding. 4.hypertension.

2.bradycardia.

An agent classified as a hypnotic is used primarily for preventing the feelings of tension or fear. 1. true 2.false

2.false

A female client is prescribed a benzodiazepine for anxiety. She asks the nurse if she can stop the drug when she feels better. What is the nurse's best response? 1."Benzodiazepines may cause physiologic dependence, and withdrawal symptoms will occur if the drug's dosages are tapered." 2."Benzodiazepines may cause physiologic dependence, but withdrawal symptoms will not occur if the drug is stopped abruptly." 3."Benzodiazepines may cause physiologic dependence, and withdrawal symptoms will occur if the drug is stopped abruptly." 4."Benzodiazepines do not cause physiologic dependence, and withdrawal symptoms will not occur if the drug is stopped abruptly."

3."Benzodiazepines may cause physiologic dependence, and withdrawal symptoms will occur if the drug is stopped abruptly."

A client's medication regimen for treatment of anxiety has been changed from a benzodiazepine to buspirone (BuSpar). The client asks the nurse what makes this medication safer than the benzodiazepine the client has taken. What is the nurse's best response? 1."It provides you with a sleep additive to decrease insomnia." 2."It produces muscle relaxant effects to decrease back pain." 3."It will not produce sedation like benzodiazepines." 4."It produces anticonvulsant action to prevent convulsions."

3."It will not produce sedation like benzodiazepines."

A client informs the nurse that he plans on discontinuing the prescribed lorazepam (Ativan) he has been taking for the past four months. What is the nurse's best action in response to this client's statement? 1.Instruct the client to take the remaining medication in the prescription bottle, then discontinue the drug. 2.Warn the client to watch for withdrawal symptoms six to eight weeks after discontinuing the drug. 3.Advise the client to contact his healthcare provider about tapering off the medication. 4.Document the client's plan to discontinue the drug in the client's medical record.

3.Advise the client to contact his healthcare provider about tapering off the medication.

The nurse obtains the following vital signs on a client: BP 160/85, P 90, RR 24. The client is recently divorced and reports taking alprazolam (Xanax) for the past seven weeks but stopped the medication yesterday. What is the nurse's first action? 1.Advise the client that increased blood pressure is an expected finding after discontinuing Xanax. 2.Notify the health care provider of the abnormal vital signs. 3.Ask the client about experiencing increased anxiety, difficulty concentrating, or tremors. 4.Document the client's vital signs in the electronic medical record and advise the charge nurse.

3.Ask the client about experiencing increased anxiety, difficulty concentrating, or tremors.

The nurse should not administer sedatives or hypnotic drugs to which client? 1.Client with an egg allergy 2.Woman of childbearing age 3.Comatose client 4.Client with a history of asthma

3.Comatose client

When describing the action of benzodiazepines as anxiolytics, what would the nurse need to keep in mind? 1.Effect on action potentials 2.Depressed motor output 3.Enhanced action of gamma-aminobutyric acid 4.Depression of the cerebral cortex

3.Enhanced action of gamma-aminobutyric acid

A nurse is caring for a patient who has been administered a barbiturate. Which is a symptom of barbiturate toxicity that the nurse must monitor the patient for? 1.Confusion 2.Euphoria 3.Hypotension 4.Restlessness

3.Hypotension

A nurse is caring for a patient who is prescribed flurazepam. Which is an effect of flurazepam? 1.Eases pain 2.Decreases stress 3.Induces sleep 4.Improves circulation

3.Induces sleep

A client who has claustrophobia is scheduled for an magnetic resonance imaging for the investigation of an abdominal mass. The nurse should anticipate what pre-medication order? 1.Suvorexant 10 mg PO 2.Ramelteon 8 mg PO 3.Lorazepam 2 mg PO 4.Eszopiclone 1 mg PO

3.Lorazepam 2 mg PO

The daughter of an older adult client asks the nurse if her father should be aware of any special precautions while taking lorazepam (Ativan). What is the nurse's best response? 1.Monitor for muscle stiffness and rigid body posture. 2.Monitor his urine output closely, due to the risk of kidney damage. 3.Monitor for increased signs of confusion or forgetfulness. 4.Monitor for a yellowish color in the eyes and easy bruising, due to liver damage.

3.Monitor for increased signs of confusion or forgetfulness.

A male client is admitted to the emergency department via ambulance. He is attempting to pull out his IV line, exhibiting symptoms of agitation, and thrashing about. The physician orders a benzodiazepine-type sedative. What information is needed prior to administration of the drug? 1.Whether the client is currently taking antibiotics 2.Whether the client is currently taking a diuretic 3.Whether the client is experiencing drug intoxication or withdrawal 4.Whether the client has a history of agitation

3.Whether the client is experiencing drug intoxication or withdrawal

A 70-year-old patient has just started taking lorazepam 10 days ago for anxiety issues related the death of her husband. She is staying with her daughter for a couple of weeks. The patient's daughter has noticed that her mother is having difficulty walking and seems to be confused at times and calls the clinic to report this to the nurse. The nurse will inform the daughter that: 1.the drug should be stopped immediately if these effects persist. 2.the drug should be administered intravenously if these effects persist. 3.a dose adjustment should be made if these symptoms persist. 4.no changes should be made at this time; the adverse effects will resolve with continued use.

3.a dose adjustment should be made if these symptoms persist.

What is the prototype for the classification of drugs referred to as benzodiazepines? 1.alprazolam 2.lorazepam 3.diazepam 4.clonazepam

3.diazepam

A hospitalized client asks the nurse why the health care provider prescribed an anxiolytic medication. What is the nurse's best response? 1."An anxiolytic, such as alprazolam (Xanax), is usually prescribed for long-term anxiety disorders." 2."Anxiolytic drugs are different from antianxiety drugs, because they work without a tranquilizing effect." 3."Anxiolytics are prescribed to treat anxiety and can be purchased without a prescription after discharge." 4."This type of medication is typically prescribed to treat excess anxiety that interferes with daily activities."

4."This type of medication is typically prescribed to treat excess anxiety that interferes with daily activities."

Clients taking benzodiazepines, especially older adult clients, are at high risk for which effect? 1.Heart failure 2.Hepatic failure 3.Constipation 4.Falls

4.Falls

The nurse is reviewing the medication chart of an 82-year-old man who has recently moved to a long-term care facility. The record reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse should recognize what consequence of this resident's drug regimen? 1.Anorexia 2.Cold intolerance 3.Risk for paradoxical aggression 4.Increased risk for falls

4.Increased risk for falls

The client suffers from GERD and diverticulosis and has been admitted to a medical floor. The admitting physician orders cimetadine and a sedative to calm the client. What should the nurse be concerned about? 1.Cost of the drugs 2.Decreased sedative effect 3.If the client's insurance will cover the two drugs 4.Increased sedative effect

4.Increased sedative effect

After reviewing the various drugs that are classified as barbiturates, a student demonstrates understanding when identifying which as the prototype? 1.Amobarbital 2.Secobarbital 3.Pentobarbital 4.Phenobarbital

4.Phenobarbital

A client appears very drowsy at bedtime and is difficult to arouse. The client is receiving halcion 0.25 mg PO at bedtime. Based on these findings, what would be the best nursing diagnosis for this client? 1.Risk for skin breakdown 2.Ineffective individual coping 3.Risk for altered elimination 4.Risk for injury

4.Risk for injury

If a pregnant client has taken a benzodiazepine during pregnancy, what would be the biggest concern? 1.There is no cause for concern. 2.The baby will have birth defects. 3.The mother will have withdrawal symptoms during labor. 4.The infant may experience withdrawal symptoms during the postnatal period.

4.The infant may experience withdrawal symptoms during the postnatal period.

A 64-year-old-client has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for which? 1.current nicotine use. 2.a diet high in carbohydrates. 3.a diet high in fat. 4.a history of current or past alcohol use.

4.a history of current or past alcohol use.

A 45-year-old male client tells the nurse that he has not slept well for the past 2 weeks. Which drug might the physician prescribe for this client? 1.loratadine 2.norepinephrine 3.phenytoin 4.eszopiclone

4.eszopiclone

A nale client tells the nurse that he has been taking an herbal supplement to aid with insomnia. What herbal supplement is the client taking? 1.saw palmetto 2.ginkgo 3.St. John's wort 4.melatonin

4.melatonin

A 28-year-old patient is to receive a dose of lorazepam intravenously for sedation during a procedure. The nursing priority would be to assess for: 1.leukopenia and diplopia. 2.seizures. 3.ataxia and confusion. 4.respiratory disturbances and partial airway obstruction.

4.respiratory disturbances and partial airway obstruction.