Clients using antianxiety drugs should be cautious when driving or performing tasks requiring mental alertness because antianxiety drugs may cause:

drowsiness.

confusion

behavior changes

sleep disorders

Answer and Explanation

The Correct Answer is A

A. drowsiness: Drowsiness is a common side effect of many antianxiety medications, especially benzodiazepines. This can impair the client’s ability to safely drive or perform tasks requiring alertness, making this the most appropriate choice.

B. confusion: While confusion can occur with some antianxiety drugs, it is less common than drowsiness and typically occurs at higher doses or with prolonged use.

C. behavior changes: Behavior changes can occur but are less common and are not the primary reason for caution with activities requiring mental alertness.

D. sleep disorders: Sleep disorders are not a typical side effect of antianxiety medications; in fact, these drugs are often used to treat sleep disturbances.

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Correct Answer is B

Explanation

A. Maintaining accurate records of intake and output: While monitoring intake and output is important for assessing fluid balance and kidney function, it is not as immediate a concern as maintaining an airway in an unconscious client.

B. Maintaining a patent airway: This is the highest priority because an unconscious client is at high risk of airway obstruction due to the loss of protective reflexes. Ensuring that the airway remains open is critical to prevent respiratory distress or arrest.

C. Inserting a nasogastric (NG) tube as prescribed: Inserting an NG tube might be necessary for feeding or draining gastric contents, but it is secondary to the more urgent need of ensuring a clear airway.

D. Providing appropriate pain control: Pain control is important but should be considered after addressing more immediate threats to the client's safety, such as maintaining a patent airway.

A. "Are you feeling worse since taking the medication?" B. "How long have you been taking the medication?" C. "What time of day are you taking the medication?" D. "What dosage of medication are you taking?"

Correct Answer is B

Explanation

A. "Are you feeling worse since taking the medication?" This is an important safety question to ask, as it helps to assess whether the client’s condition has worsened since starting the medication. However, it is not the first priority when evaluating the efficacy of a newly prescribed antidepressant.

B. "How long have you been taking the medication?" This is the most important question to ask first because the effectiveness of imipramine, a tricyclic antidepressant, can take several weeks to become apparent. If the client has not been taking the medication for an adequate period, the drug may simply not have had enough time to work yet.

C. "What time of day are you taking the medication?" While the timing of the medication can affect side effects, it is less critical than knowing how long the client has been on the medication when assessing its effectiveness.

D. "What dosage of medication are you taking?" This is an important follow-up question but not the first priority. The duration of treatment is more critical to assess before considering dosage adjustments.

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Clients using antianxiety drugs should be cautious when driving or performing tasks requiring mental alertness because antianxiety drugs may cause:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority?

Correct Answer is B

Explanation

The nurse is providing education via phone to a client who called stating that the newly prescribed imipramine (Tofranil) is not working as depression is still a problem. Which question is most important to ask first?

Correct Answer is B

Explanation

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