A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?

Encourage the client to continue taking benzodiazepines as needed

Advise the client to stop taking benzodiazepines abruptly

Educate the client about the risks of benzodiazepine dependence and withdrawal

Suggest alternative therapies for anxiety such as meditation or exercise

Answer and Explanation

The Correct Answer is C

Correct answer: c) Educate the client about the risks of benzodiazepine dependence and withdrawal

Rationale: Taking more than the prescribed dose of benzodiazepines can lead to physical and psychological dependence, tolerance, and withdrawal symptoms. The nurse should educate the client about these risks and advise them to consult with their prescriber before making any changes to their medication regimen.

Incorrect choices:
a) Encourage the client to continue taking benzodiazepines as needed: This can worsen the client's dependence, tolerance, and withdrawal symptoms.
b) Advise the client to stop taking benzodiazepines abruptly: This can cause severe withdrawal symptoms such as seizures, delirium, or death.
d) Suggest alternative therapies for anxiety such as meditation or exercise: While these therapies can be helpful for anxiety management, they are not a substitute for medication therapy for clients who have been prescribed benzodiazepines.

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Correct Answer is A

Explanation

Correct answer: a) Grapefruit juice

Rationale: Grapefruit juice can increase the blood levels of alprazolam and other benzodiazepines by inhibiting their metabolism in the liver. This can result in increased sedation, drowsiness, and risk of adverse effects.

Incorrect choices:

b) Green tea: Green tea does not interact with alprazolam or other benzodiazepines.

c) Vitamin C: Vitamin C does not interact with alprazolam or other benzodiazepines.

d) Calcium supplements: Calcium supplements do not interact with alprazolam or other benzodiazepines.

A. Constipation and dry mouth B. Drowsiness and respiratory depression C. Nausea and vomiting D. Pupillary constriction and itching

Correct Answer is B

Explanation

Correct answer: b) Drowsiness and respiratory depression

Rationale: Drowsiness and respiratory depression are signs of opioid overdose and indicate that the client is taking more than the prescribed dose or combining oxycodone with other depressants. The nurse should monitor the client's vital signs, administer naloxone if indicated, and report the situation to the prescriber.

Incorrect choices:
a) Constipation and dry mouth: These are common side effects of opioids and do not necessarily indicate abuse.
c) Nausea and vomiting: These are also common side effects of opioids and can be managed with antiemetics.
d) Pupillary constriction and itching: These are also common side effects of opioids and do not necessarily indicate abuse.

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A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed alprazolam (Xanax) for anxiety disorder. The nurse should instruct the client to avoid which of the following substances while taking this medication?

Correct Answer is A

Explanation

A nurse is assessing a client who has been prescribed oxycodone for chronic pain. Which of the following signs and symptoms should alert the nurse to possible prescription drug abuse?

Correct Answer is B

Explanation

A client is admitted to the emergency department with signs of stimulant intoxication. The client reports taking amphetamines prescribed by a friend for weight loss. Which of the following findings should the nurse expect?

A nurse is assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?

A nurse is teaching a client who is prescribed disulfiram (Antabuse) for alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?

A nurse is reviewing the medication history of a client who is prescribed lithium carbonate (Lithobid) for bipolar disorder. Which of the following medications should alert the nurse to a potential drug interaction?