A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?
Hypertension
Hearing loss
Sedation
Bradycardia
The Correct Answer is C
A. Alprazolam, a benzodiazepine, typically doesn't cause hypertension. Its primary mechanism of action involves modulation of GABA receptors in the central nervous system, leading to anxiolytic effects rather than effects on blood pressure regulation.
B. There's no documented association between alprazolam use and hearing loss.
Benzodiazepines like alprazolam primarily affect the central nervous system and do not target auditory structures.
C. Sedation is a common side effect of alprazolam due to its CNS depressant properties.
Patients often experience drowsiness, fatigue, and impaired cognitive function, especially when initiating therapy or when doses are increased.
D. Alprazolam typically doesn't cause bradycardia. While it can have mild effects on heart rate, such as tachycardia, significant bradycardia is not a documented adverse effect.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Phenytoin can rarely cause a side effect known as "purple glove syndrome" if it infiltrates into the surrounding tissues during intravenous administration, leading to discoloration. However, this is not relevant to oral suspension administration.
B. Taking an antacid with phenytoin is generally not recommended as it may decrease the absorption of phenytoin. Phenytoin should be taken on an empty stomach to ensure optimal absorption.
C. Phenytoin oral suspension may settle over time, so it's important to shake the bottle well before measuring and administering each dose to ensure uniform distribution of the medication.
D. While obtaining an annual flu vaccine is generally advisable for individuals with epilepsy, it's not directly related to phenytoin administration and should be part of routine healthcare maintenance rather than specific guidance for phenytoin therapy.
Correct Answer is A
Explanation
A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.
Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.
B. Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C. Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D. Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.
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