A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?

"Stop taking alprazolam right away if you experience abdominal discomfort."

"Watch for drowsiness and light-headedness while taking alprazolam."

"Drinking alcohol decreases the effectiveness of alprazolam."

"This medication has a low risk for physical dependence."

Answer and Explanation

The Correct Answer is B

A.   Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B.   Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C.   Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D.   Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.

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Correct Answer is D

Explanation

A. Gentamycin ointment is typically applied to the affected area and then covered with a sterile dressing to enhance absorption and prevent contamination. Leaving it open to the air may reduce its effectiveness.
B. Gentamycin ointment is not known to cause blurry vision, as it is applied topically to the skin and does not typically affect vision.
C. Gentamycin ointment should only be applied to the specific area of infection as directed by the healthcare provider. Applying it to large areas unnecessarily may increase the risk of adverse effects and antibiotic resistance.
D. Proper cleansing of the affected area before applying gentamycin ointment helps remove debris and bacteria, promoting better medication absorption and effectiveness.

A. Cefuroxime B. Metformin C. Isosorbide D. Naproxen

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.

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A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching a client who has a new prescription for gentamycin ointment to treat a skin infection. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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

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