Chapter 7 Non-benzodiazepines

A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? A. "Take a missed dose as soon as you remember." B. "Take the drug as needed at the first sign of anxious feelings." C. "Take the drug in the morning with a glass of grapefruit juice." D. "Drink a cup of chamomile tea at night with the drug."

A. "Take a missed dose as soon as you remember." Scheduled on a regular basis, not for PRN usage.

Which agent has no sedative, anticonvulsant, or muscle relaxant properties but does reduce the signs and symptoms of anxiety? A. Buspirone B. Meprobamate C .Diphenhydramine D. Zaleplon

A. Buspirone

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? A. Alprazolam (Xanax) B. Buspirone (BuSpar) C. Diazepam (Valium) D. Lorazepam (Ativan)

B. Buspirone Buspirone does not result in sedation.

A nurse is assessing a client who is taking buspirone to treat generalized anxiety disorder. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Arthralgia B. Photophobia C. Xerostomia D. Bradycardia

C. Xerostomia Dry mouth.

A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following statements by the client indicated an understanding of the teaching? A. "This medication can cause dependence." B. "I should take a dose of my medication when I start to feel anxious." C. "It's important for me to take my medication 30 min before bedtime." D. "I should expect to feel the full effect of my medication in 2 to 4 weeks."

D. "I should expect to feel the full effect of my medication in 2 to 4 weeks."

A nurse is teaching a client who has anxiety and a new prescription for buspirone. Which of the following pieces of information should the nurse include in the teaching? A. "Buspirone carries a high potential for abuse." B. "Avoid consuming grapefruit juice when taking this medication." C. "Takethismedication4timesdaily." D. "The peaks effects of buspirone occur within 1 week."

B. "Avoid consuming grapefruit juice when taking this medication." Interaction.

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 benzo- diazepine the client has taken. What is the nurse's best response? A. "It provides you with a sleep additive to decrease insomnia." B. "It produces muscle relaxant effects to decrease back pain." C. "It will not produce sedation like benzodiazepines." D. "It produces anticonvulsant action to prevent convulsions."

C. "It will not produce sedation like benzodiazepines." Buspirone does not result in sedation or potentiate the effects of other CNS depressants.

A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? A. Take the drug with grapefruit juice to increase absorption. B. Use the drug as needed for anxiety. C. Allow 2 to 4 weeks for full therapeutic effects. D. Take the drug on an empty stomach.

C. Allow 2 to 4 weeks for full therapeutic effects.

A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following manifestations is a common adverse effect of this medication? A. Confusion B. Bradycardia C. Dizziness D. Insomnia

C. Dizziness Avoid driving and operating heavy machinery.

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? A. "Take this medication on an empty stomach." B. "Expect optimal therapeutic effects within 24hr." C. "Take this medication when needed for anxiety." D. "This medication has a low risk for dependency."

D. "This medication has a low risk for dependency." Low risk for physical or psychological dependency or tolerance.

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following statement should the nurse include in the teaching? A. "Use buspirone with caution because it raises the risk of experiencing suicidal thoughts." B. "You can minimize adverse effects by taking buspirone with grapefruit juice." C. "Buspirone enhances the depressants effects of alcohol." D. "Buspirone causes nausea in some people."

D. "Buspirone causes nausea in some people." An adverse effect.

A nurse is providing teaching to a client who has a new prescription for buspirone. Which of the following statements by the client indicates an understanding of the teaching? A,. "I need to watch for signs of dehydration." B. "I need to have my kidney function monitored while taking this medication." C. "I should take this medication on an empty stomach." D. "I might not notice the effects of this medication for several weeks."

D. "I might not notice the effects of this medication for several weeks." Buspirone develops slowly.