A client tells their provider they have had difficulty sleeping for six months. They are requesting a sleep aid to take as needed. Which medication would the nurse anticipate the provider to order?

Paroxetine

Buspirone

Alprazolam

Amitriptyline

Answer and Explanation

The Correct Answer is C

Alprazolam is a benzodiazepine that is commonly used to treat anxiety disorders and panic disorders ¹. It can also be used as a sleep aid due to its sedative effects ³.
Option A is not correct because paroxetine is an antidepressant and is not commonly used as a sleep aid.
Option B is not correct because buspirone is an anti-anxiety medication and is not commonly used as a sleep aid.
Option D is not correct because amitriptyline is an antidepressant and is not commonly used as a sleep aid.

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Correct Answer is D

Explanation

A selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for several reasons, including reducing the risk of suicide with overdose ³. TCAs have a higher potential for serious or fatal toxicity when taken in large amounts compared to SSRIs ³.
Option A is incorrect because SSRIs can cause sexual dysfunction as a side effect.
Option B is incorrect because both SSRIs and TCAs can cause weight gain and gastrointestinal (GI) eﬀects.
Option C is incorrect because SSRIs can increase the risk of serotonin syndrome when taken with other medications that affect serotonin levels.

A. Take the medication on an empty stomach. B. There are no side effects of this medication like there are for carbidopa/levodopa. C. Discontinue the carbidopa/levodopa. D. Rise slowly from a lying or sitting position.

Correct Answer is D

Explanation

Donepezil is a medication that can cause side effects such as dizziness and fainting ¹. Therefore, it is important for the client to rise slowly from a lying or sitting position to prevent falls.

Option A is incorrect because donepezil can be taken with or without food.
Option B is incorrect because donepezil does have side effects ¹.
Option C is incorrect because the health care provider added donepezil to the client's daily routine, not to replace carbidopa/levodopa.

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A client tells their provider they have had difficulty sleeping for six months. They are requesting a sleep aid to take as needed. Which medication would the nurse anticipate the provider to order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client being treated for depression. The nurse understands that a selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for which of the following reasons?

Correct Answer is D

Explanation

The client diagnosed with Parkinson's disease has been taking carbidopa/levodopa for two years. The client states symptoms are worsening. The health care provider added the prescription donepezil to the client's daily routine. Which information should the nurse teach the client?

Correct Answer is D

Explanation

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