A client is prescribed diazepam, a Schedule IV medication, for anxiety. The nurse should instruct the client to avoid which of the following substances while taking this medication?

Grapefruit juice

Coffee

Water

Answer and Explanation

The Correct Answer is A

Correct answer: a) Grapefruit juice

Rationale: Grapefruit juice can inhibit the metabolism of diazepam, a benzodiazepine that acts on the central nervous system to reduce anxiety and induce sedation. This can increase the blood levels and effects of diazepam, which can lead to excessive sedation, respiratory depression, and overdose. The client should avoid grapefruit juice and other citrus fruits while taking this medication.

Incorrect choices:

b) Milk: Milk does not interact with diazepam and can be consumed safely while taking this medication.

c) Coffee: Coffee does not interact with diazepam and can be consumed safely while taking this medication. However, caffeine can have a stimulant effect that may counteract the sedative effect of diazepam.

d) Water: Water does not interact with diazepam and can be consumed safely while taking this medication. In fact, the client should drink plenty of water to prevent dehydration and maintain renal function.

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Correct Answer is D

Explanation

Correct answer: d) All of the above.

Rationale: The nurse should follow all of these actions to ensure the safe and legal administration of controlled substances. These actions help prevent medication errors, diversion, and misuse of controlled substances.

Incorrect choices:
a) Verify the client's identity using two identifiers before administering the medication.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.
b) Document the administration of the medication on a separate controlled substance record.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.
c) Count the remaining tablets of oxycodone with another nurse at the end of each shift.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.

A. Constipation B. Hypertension C. Tachycardia D. Diarrhea

Correct Answer is A

Explanation

Correct answer: a) Constipation

Rationale: Oxycodone is an opioid analgesic that acts on the central nervous system to relieve pain. It also has peripheral effects, such as decreasing gastrointestinal motility and secretion, which can cause constipation. The nurse should advise the client to increase fluid and fiber intake, exercise regularly, and use stool softeners or laxatives as needed to prevent or treat constipation.

Incorrect choices:

b) Hypertension: Oxycodone can cause hypotension, not hypertension, due to its vasodilatory effect.

c) Tachycardia: Oxycodone can cause bradycardia, not tachycardia, due to its vagal stimulation effect.

d) Diarrhea: Oxycodone can cause constipation, not diarrhea, due to its decreased gastrointestinal motility and secretion effect.

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A client is prescribed diazepam, a Schedule IV medication, for anxiety. The nurse should instruct the client to avoid which of the following substances while taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication list of a client who has chronic pain and is prescribed oxycodone, a controlled substance. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reviewing the medication list of a client who has chronic pain and takes oxycodone, a Schedule II medication, on a regular basis. The nurse should monitor the client for which of the following adverse effects of oxycodone?

Correct Answer is A

Explanation

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A client is prescribed diazepam, a Schedule IV medication, for anxiety. The nurse should instruct the client to avoid which of the following substances while taking this medication?

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