A student nurse is studying drugs for anxiety and insomnia.
Which of the following should be avoided as they counteract anxiolytics and sedatives and may worsen anxiety symptoms?
Coffee
Tea
Chocolate
All of the above
The Correct Answer is D
Choice A rationale
Coffee contains caffeine, a stimulant that can increase alertness and counteract the effects of anxiolytics and sedatives. However, not all individuals with anxiety or insomnia need to avoid coffee. Some people may find that they can tolerate a small amount of caffeine without it worsening their symptoms.
Choice B rationale
Like coffee, tea also contains caffeine, which can counteract the effects of anxiolytics and sedatives. However, the amount of caffeine in tea is usually less than in coffee, and some types of tea, such as herbal teas, are naturally caffeine-free.
Choice C rationale
Chocolate, especially dark chocolate, contains small amounts of caffeine. However, the amount of caffeine in chocolate is usually much less than in coffee or tea. Some people with anxiety or insomnia may find that they can tolerate chocolate without it worsening their symptoms.
Choice D rationale
All of the above (coffee, tea, and chocolate) contain caffeine, which can counteract the effects of anxiolytics and sedatives and may worsen anxiety symptoms. Therefore, individuals taking these medications for anxiety and insomnia should be advised to avoid or limit their intake of these items.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Cephalosporins are a class of antibiotics that are chemically related to penicillin. They have a similar mechanism of action and a similar core chemical structure. Because of these similarities, there is a risk of cross-reactivity between penicillins and cephalosporins, meaning that a person who is allergic to penicillin may also have an allergic reaction to cephalosporins.
Choice B rationale
Sulfonamides are a different class of antibiotics and do not have a chemical structure similar to penicillin. While a person could be allergic to both penicillin and sulfonamides, this would be due to two separate allergies, not a cross-reactivity.
Choice C rationale
Macrolides are another class of antibiotics that are not chemically related to penicillin. There is no known cross-reactivity between penicillin and macrolides.
Choice D rationale
Aminoglycosides are a class of antibiotics that are not chemically related to penicillin. There is no known cross-reactivity between penicillin and aminoglycosides.
Correct Answer is C
Explanation
Choice A rationale
Administering ordered insulin subcutaneously is the correct method of administration. Insulin is not typically given by other routes.
Choice B rationale
Using an insulin syringe to administer the insulin dose is the correct practice. Insulin syringes are calibrated in insulin units, which helps ensure accurate dosing.
Choice C rationale
Drawing up the ordered dose in a 3 mL syringe is a violation of safe practice. Insulin should always be drawn up in an insulin-specific syringe, which is marked in insulin units, not milliliters.
Choice D rationale
Verifying the drawn-up insulin dose with another nurse is a recommended safety practice in many settings. This double-check can help prevent errors in insulin dosing.
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