A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record. which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?
Select one:

clonazepam (Klonopin)

amitriptyline (Elavil)

olanzapine (Zyprexa)

escitalopram (Lexapro)

Answer and Explanation

The Correct Answer is A

Clonazepam is a benzodiazepine medication that acts quickly to reduce anxiety and promote relaxation. It is commonly used as a PRN medication for acute anxiety episodes.

Amitriptyline (Elavil) is a tricyclic antidepressant that is not typically used as an as-needed anxiolytic medication due to its slow onset of action and potential for side eﬀects.

Olanzapine (Zyprexa) is an atypical antipsychotic medication that can be used to treat anxiety in certain cases, but it is not typically used as a PRN medication for acute anxiety episodes.

Escitalopram (Lexapro) is a selective serotonin reuptake inhibitor (SSRI) antidepressant that is not typically used as an as-needed anxiolytic medication due to its slow onset of action. It is usually taken on a daily basis to provide ongoing anxiety relief.

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Correct Answer is C

Explanation

Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.

Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.

Option b. Notify the health care provider immediately and give 4 liters of ﬂuids is not an appropriate action because it involves administering ﬂuids without obtaining orders from the health care provider.

Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.

A. Passive aggression B. Repression C. Sublimation D. Reaction formation

Correct Answer is A

Explanation

Passive-aggressive behavior is characterized by indirect resistance to the demands of others and an avoidance of direct confrontation. In this case, the worker is demonstrating passive-aggressive behavior by initially agreeing to the project but then making excuses and not completing it.

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A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record. which is most appropriate to administer as an as-needed (PRN) anxiolytic medication? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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A patient experiences an episode of severe anxiety. Of these medications in the patient's medical record. which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?
Select one: