A client has been taking diazepam for three months. Which of the following statements by the client would indicate the medication is effective?
"I feel like I am able to cope with routine stress at my job."
"I will need to take this medication for the rest of my life."
"I thought the medication would make me think clearly, but I don't see a change."
"I often increase the amount of this medication when I'm feeling really stressed at home."
The Correct Answer is A
Diazepam is a benzodiazepine medication used to treat anxiety disorders. It works by enhancing the activity of certain neurotransmitters in the brain. A therapeutic outcome for this medication would be a decrease in anxiety and an improved ability to cope with stress.
Option B is not correct because it does not indicate whether the medication is effective or not.
Option C is not correct because it indicates that the client does not see a change in their symptoms.
Option D is not correct because it indicates that the client is self-medicating and increasing their dose without consulting their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
In pharmacodynamics, receptors play a crucial role in mediating the effects of medications ¹. Medications must bind with receptors to mimic or block the actions of the body's own regulatory molecules ¹. This binding can activate or inhibit the receptor, leading to a biological response ¹.
Option B is incorrect because activation of the receptor by the medication does not necessarily cause the cell to develop a new function.
Option C is incorrect because receptors do not start the process of metabolism of the medication by the liver.
Option D is incorrect because binding a medication to a receptor does not necessarily make the medication more selective to that type of receptor.
Correct Answer is D
Explanation
The client's symptoms of high fever, unstable blood pressure, increased confusion, and rigidity are consistent with neuroleptic malignant syndrome (NMS) ⁴. NMS is a rare but life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication ⁴. In this case, the client was taking olanzapine and was recently prescribed chlorpromazine, both of which are antipsychotic medications that can cause NMS ⁴.
Option A is incorrect because accelerated dementia would not cause the sudden onset of these symptoms.
Option B is incorrect because an infection would not explain the sudden onset of these symptoms after starting a new medication.
Option C is incorrect because aspiration would not cause rigidity or unstable blood pressure.
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