A nurse is preparing to administer buspirone (BuSpar) to a client who has generalized anxiety disorder. The client asks the nurse how this medication works. Which of the following responses should the nurse give?
“It binds to serotonin and dopamine receptors in your brain.”
“It enhances the activity of GABA in your brain.”
“It blocks the reuptake of serotonin in your brain.”
“It inhibits the breakdown of norepinephrine in your brain.”
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Ketoconazole (Nizoral) can interact with zolpidem (Ambien) and increase its sedative effects.Ketoconazole is an antifungal medication that inhibits the metabolism of zolpidem, leading to higher plasma levels and increased risk of adverse effects such as drowsiness, dizziness, and impaired coordination.
Choice A is wrong because omeprazole (Prilosec) is a proton pump inhibitor that does not affect the metabolism or clearance of zolpidem.
Choice B is wrong because warfarin (Coumadin) is an anticoagulant that does not interact with zolpidem.However, warfarin levels may be affected by other medications or dietary factors that influence clotting.
Choice D is wrong because metformin (Glucophage) is an antidiabetic medication that does not interact with zolpidem.Metformin may cause gastrointestinal side effects such as nausea, diarrhea, and abdominal pain, but these are not related to zolpidem use.
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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