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 A

Explanation

A. Phenytoin is usually taken long-term for seizure control. The statement indicates a lack of understanding that this is a long-term medication and abrupt discontinuation can increase the risk of seizures.
B. Phenytoin has many drug interactions, so notifying the doctor before taking other medications is appropriate.
C. Phenytoin should not be switched between brands due to variations in bioavailability; this statement indicates proper understanding.
D. Regular dental visits are important as phenytoin can cause gingival hyperplasia.

A. Administer the medication at 100 mg/min. B. Dilute the medication with dextrose 5% in water. C. Administer a saline solution after injection. D. Hold the injection if seizure activity is present.

Correct Answer is C

Explanation

A. Phenytoin should be administered at a rate no faster than 50 mg/min.
B. Phenytoin should be diluted in normal saline, not dextrose, as it can precipitate.
C. Administering a saline solution after injection helps to ensure the drug is fully flushed through the IV line.
D. Phenytoin is often administered to control active seizures, so holding it would not be appropriate.

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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

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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