A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?

"Avoid activities that require alertness, such as driving."

"Take this mediation with a high-fat meal."

"Take this medication every night before sleep."

"Monitor for peripheral edema."

Answer and Explanation

The Correct Answer is A

A. Alprazolam can cause drowsiness and impair cognitive function, so avoiding activities that require alertness is crucial.
B. There is no specific recommendation to take alprazolam with a high-fat meal.
C. Alprazolam should be used as prescribed by the physician, and not necessarily every night.
D. Peripheral edema is not a common side effect of alprazolam.

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Correct Answer is ["250"]

Explanation

To calculate the infusion rate, the total volume of the IV fluid (2000 mL) should be divided by the total time of infusion (8 hours). This results in an infusion rate of 250 mL/hr. Therefore, the nurse should set the IV pump to deliver 250 mL of 0.45% sodium chloride (NaCl) per hour to infuse the total volume over the 8-hour period.

A. "He takes a 2-hour nap every day after school." B. "He says he feels sick to his stomach after taking this medication." C. "He says his mouth is always dry." D. "He has so many new bruises on his body.

Correct Answer is D

Explanation

A. Taking a nap may be a normal response to medication but is not a priority concern.
B. Nausea is a common side effect but is not a priority compared to signs of potential bleeding.
C. Dry mouth is a common side effect and can be managed with symptomatic treatment.
D. New bruises can indicate a serious adverse effect, such as bone marrow suppression leading to thrombocytopenia, which requires immediate attention.

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A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["250"]

Explanation

A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority?

Correct Answer is D

Explanation

A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hr. At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?

A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication?

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A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse?

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