A client taking temazepam informs the nurse of plans to quit taking the medication due to feelings of "hungover" the next day. Which action should the nurse implement?
Encourage the client to obtain a prescription for a benzodiazepine antagonist.
Instruct the client that it is important to reduce the dose of the medication gradually.
Discuss with the client that there may be a need for additional sleep if the feeling of fatigue is present the next day.
Advise the client to stop taking the medication immediately.
The Correct Answer is B
Rationale
A. Benzodiazepine antagonists, such as flumazenil, are used to reverse the effects of benzodiazepines in cases of overdose or excessive sedation. However, in the context of using temazepam for insomnia, this is not a standard approach.
B. Benzodiazepines like temazepam should not be stopped abruptly, especially if they have been taken regularly. Abrupt cessation can lead to withdrawal symptoms, including rebound insomnia, anxiety, agitation, and potentially seizures in severe cases.
C. This option addresses the symptom of feeling "hungover" or fatigued the next day after taking temazepam. It acknowledges that residual sedation or drowsiness can occur with temazepam use. The nurse can educate the client about the potential for these side effects and suggest allowing for adequate time for sleep to alleviate these symptoms.
D. Stopping temazepam abruptly is not recommended because it can lead to withdrawal symptoms and potentially worsen insomnia. This option does not address the need for tapering off the medication or managing the symptoms effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12.5"]
Explanation
To calculate the dosage of amoxicillin suspension to be administered every 8 hours, one must first determine the total daily dosage in milligrams. Since 1 gram equals 1000 milligrams, 1.5 grams is equivalent to 1500 milligrams. This total daily dosage needs to be divided into three doses, as it will be administered every 8 hours.
Therefore, each dose will be 1500 mg divided by 3, which equals 500 mg per dose. The medication bottle states that there are 200 mg of amoxicillin in every 5 mL of suspension. To find out how many mL correspond to a 500 mg dose, set up a proportion: 200 mg/5 mL = 500 mg/x mL. Solving for x gives x = (500 mg * 5 mL) / 200 mg, which equals 12.5 mL
Therefore, the nurse should administer 12.5 mL of the amoxicillin suspension every 8 hours.
Correct Answer is D
Explanation
Rationale
A. While ensuring the room is secure and providing one-on-one observation are also important, the immediate concern after administering haloperidol is the potential for these side effects.
B. Continuous observation is crucial to monitor the client's behavior, mood, and safety while in seclusion. This allows the nurse to intervene promptly. However, monitoring should be specific
C. Seclusion is not intended as a punishment but as a therapeutic intervention to protect the client and others from harm during acute psychiatric episodes. The decision to release the client should be based on clinical assessment
D. Haloperidol is an antipsychotic medication that can cause extrapyramidal symptoms (EPS), including dystonia (muscle spasms). Monitoring for EPS is essential after administering haloperidol to ensure early detection and treatment, which may involve administering anticholinergic medications if EPS occurs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.