A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?

Take this medication on an empty stomach.

Expect optimal therapeutic effects within 24 hr.

Avoid drinking grapefruit juice while taking this medication.

This medication has a high risk for dependence.

Answer and Explanation

The Correct Answer is C

Avoid drinking grapefruit juice while taking this medication. This is because grapefruit juice can increase the blood levels of buspirone and cause adverse effects such as drowsiness, dizziness, and nausea.

Choice A is wrong because taking this medication on an empty stomach can cause stomach upset and reduce its absorption. It is better to take buspirone with food or milk.

Choice B is wrong because optimal therapeutic effects of buspirone can take several weeks to develop. It is not a fast-acting medication like benzodiazepines.

Choice D is wrong because this medication has a low risk for dependence compared to other anti-anxiety drugs. Buspirone does not cause withdrawal symptoms or tolerance.

The normal dosage range for buspirone is 15 to 60 mg per day in divided doses. The normal blood level of buspirone is 1 to 6 ng/mL.

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Correct Answer is C

Explanation

Serum lithium levels should be monitored regularly while taking this medication because lithium has a narrow therapeutic range and can cause toxicity if the levels are too high or ineffective if the levels are too low.The normal range for serum lithium levels is 0.6 to 1.2 mEq/L (0.6 to 1.2 mmol/L).

Choice A is wrong because blood glucose levels are not affected by lithium and do not need to be monitored regularly.

Choice B is wrong because serum potassium levels are not affected by lithium and do not need to be monitored regularly.

Choice D is wrong because serum calcium levels are not affected by lithium and do not need to be monitored regularly.

A. Fever B. Polyuria C. Muscle rigidity D. Diaphoresis E. Tremors.

Correct Answer is ["A","C","D","E"]

Explanation

These are all possible signs ofneuroleptic malignant syndrome (NMS), a rare but serious adverse effect of risperidone and other antipsychotic medications.

NMS is a life-threatening condition that requires immediate medical attention.It is characterized by fever, muscle rigidity, altered mental status, autonomic instability and elevated creatine kinase levels.

Choice B is wrong because polyuria is not a common side effect of risperidone.Polyuria can be caused by other conditions such as diabetes mellitus, diabetes insipidus or diuretic use.

Normal ranges for vital signs and laboratory values are as follows:

• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F)

• Heart rate: 60 to 100 beats per minute

• Blood pressure: 120/80 mm Hg or lower

• Respiratory rate: 12 to 20 breaths per minute

• Oxygen saturation: 95% or higher

• Creatine kinase: 22 to 198 U/L for males and 10 to 171 U/L for females

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A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A client with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

Correct Answer is C

Explanation

A nurse is caring for a client who has schizophrenia and is taking risperidone (Risperdal). Which of the following findings should alert the nurse to a potential adverse effect of this medication? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?

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