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

Answer and Explanation

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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Correct Answer is C

Explanation

A. There's no documented interaction between cefuroxime and sildenafil. Cefuroxime is an antibiotic, and there are no known significant interactions with sildenafil.
B. There's no documented interaction between metformin and sildenafil. Metformin, an antidiabetic medication, does not interact significantly with sildenafil.
C. Both sildenafil and isosorbide are vasodilators, and concomitant use can result in severe hypotension due to additive effects on blood pressure lowering. Therefore, their combination is contraindicated.

D. Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), does not have a significant interaction with sildenafil. They can be safely used together in most cases, although caution may be needed in individuals with cardiovascular risk factors.

A. Take the medication on an empty stomach. B. Wait up to 3 weeks to see the full effects of the medication. C. Follow a low-sodium diet. D. Limit fluid intake to 800 ounces per day while taking this medication

Correct Answer is B

Explanation

A. Lithium carbonate is typically taken with food to minimize gastrointestinal side effects.

Taking it on an empty stomach may increase the risk of nausea and other GI symptoms.

B. It can take up to 3 weeks to see the full effects of lithium carbonate, which is used to treat bipolar disorder.
C. Clients do not need to follow a low-sodium diet; in fact, maintaining a consistent sodium intake is important while taking lithium,
D. While adequate fluid intake is important to prevent dehydration, there's no specific recommendation to limit fluid intake to 800 ounces per day. However, clients should be advised to maintain hydration and be cautious of excessive fluid intake, especially if they have kidney or cardiovascular issues.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil. The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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