A client is admitted to the emergency department with signs of benzodiazepine overdose, such as slurred speech, confusion, and respiratory depression. The client's family reports that the client has been taking alprazolam for anxiety and has recently increased their dose due to stress. Which of the following medications should the nurse anticipate administering to reverse the effects of benzodiazepine overdose?
Naloxone
Flumazenil
Acetylcysteine
Physostigmine
The Correct Answer is B
Correct answer: b) Flumazenil
Rationale: Flumazenil is an antidote that can reverse the central nervous system depression caused by benzodiazepines by antagonizing their binding to GABA receptors.
Incorrect choices:
a) Naloxone: This is an antidote that can reverse the respiratory depression caused by opioids by antagonizing their binding to opioid receptors.
c) Acetylcysteine: This is an antidote that can prevent liver damage caused by acetaminophen overdose by replenishing glutathione levels.
d) Physostigmine: This is an antidote that can reverse the anticholinergic effects caused by atropine overdose by inhibiting acetylcholinesterase activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: a) "You should not take more than the prescribed dose because it can cause serious side effects."
Rationale: Methylphenidate is a stimulant that can increase alertness, attention, and energy. However, taking more than the prescribed dose can cause adverse effects such as insomnia, anxiety, palpitations, hypertension, psychosis, and seizures.
Incorrect choices:
b) "You should talk to your doctor about adjusting your dose if you feel that it is not effective.": This may encourage the client to continue misusing the medication and may not address the underlying causes of their academic difficulties.
c) "You should stop taking this medication because it is addictive and can lead to dependence.": This may discourage the client from adhering to their treatment plan and may not acknowledge the benefits of the medication for their condition.
d) "You should use other strategies to improve your concentration and memory, such as exercise and meditation.": This may imply that the medication is unnecessary or ineffective and may not address the risks of misusing the medication.
Correct Answer is B
Explanation
Correct answer: b) Flumazenil
Rationale: Flumazenil is an antidote that can reverse the central nervous system depression caused by benzodiazepines by antagonizing their binding to GABA receptors.
Incorrect choices:
a) Naloxone: This is an antidote that can reverse the respiratory depression caused by opioids by antagonizing their binding to opioid receptors.
c) Acetylcysteine: This is an antidote that can prevent liver damage caused by acetaminophen overdose by replenishing glutathione levels.
d) Physostigmine: This is an antidote that can reverse the anticholinergic effects caused by atropine overdose by inhibiting acetylcholinesterase activity.
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