A nurse is caring for a client who is experiencing alcohol withdrawal and is receiving chlordiazepoxide (Librium) as an anxiolytic. Which of the following assessments should the nurse monitor? (Select all that apply.).

Blood pressure

Respiratory rate

Liver function tests

Blood glucose level

Mental status.

Answer and Explanation

Correct Answer : A,B,C,E

The nurse should monitor the client’s blood pressure, respiratory rate, liver function tests and mental status because chlordiazepoxide (Librium) is a benzodiazepine that can cause respiratory depression, hypotension, hepatic impairment and sedation. The nurse should also monitor for signs of withdrawal such as anxiety, tremors, seizures and delirium.

Choice D is wrong because blood glucose level is not affected by chlordiazepoxide or alcohol withdrawal. Blood glucose level is more relevant for clients who have diabetes or are taking medications that alter glucose metabolism.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for respiratory rate are 12 to 20 breaths per minute, for liver function tests are AST 10 to 40 U/L, ALT 7 to 56 U/L, ALP 45 to 115 U/L, bilirubin 0.1 to 1.2 mg/dL and for mental status are alert and oriented to person, place, time and situation.

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Correct Answer is A

Explanation

Buspirone (BuSpar) is an anxiolytic medication that works by binding to serotonin and dopamine receptors in the brain, which helps regulate mood and reduce anxiety.

Choice B is wrong because it describes the mechanism of action of benzodiazepines, such as lorazepam or diazepam, which enhance the activity of GABA, a neurotransmitter that inhibits anxiety and arousal.

Choice C is wrong because it describes the mechanism of action of selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine or sertraline, which block the reuptake of serotonin, a neurotransmitter that influences mood and anxiety.

Choice D is wrong because it describes the mechanism of action of monoamine oxidase inhibitors (MAOIs), such as phenelzine or tranylcypromine, which inhibit the breakdown of norepinephrine, a neurotransmitter that affects alertness and energy.

A. “I should not drink alcohol while taking this medication.” B. “I should take this medication only when I feel anxious.” C. “I should not stop taking this medication abruptly.” D. “I should report any signs of confusion or memory loss.”

Correct Answer is B

Explanation

“I should take this medication only when I feel anxious.” This statement indicates a need for further teaching because alprazolam should be taken on a regular schedule as prescribed by the provider, not on an as-needed basis.Taking alprazolam only when feeling anxious can increase the risk of dependence and withdrawal symptoms.

Choice A is wrong because it is a correct statement.Alcohol should be avoided while taking alprazolam because it can increase the sedative effects and the risk of respiratory depression.

Choice C is wrong because it is a correct statement.Alprazolam should not be stopped abruptly because it can cause withdrawal symptoms such as anxiety, insomnia, tremors, and seizures.

Choice D is wrong because it is a correct statement.Confusion and memory loss are possible adverse effects of alprazolam and should be reported to the provider.

Alprazolam is a benzodiazepine that is used to treat anxiety disorders.It works by enhancing the effects of gamma-aminobutyric acid (GABA), a neurotransmitter that inhibits brain activity and produces a calming effect.The normal dosage range for alprazolam is 0.25 to 0.5 mg three times daily, with a maximum dose of 4 mg per day.Alprazolam has a high potential for abuse and dependence, so it should be used with caution and for short periods of time.

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A nurse is caring for a client who is experiencing alcohol withdrawal and is receiving chlordiazepoxide (Librium) as an anxiolytic. Which of the following assessments should the nurse monitor? (Select all that apply.).

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A nurse is caring for a client who is experiencing alcohol withdrawal and is receiving chlordiazepoxide (Librium) as an anxiolytic. Which of the following assessments should the nurse monitor? (Select all that apply.).