A client tells their provider they have had difficulty sleeping for six months. They are requesting a sleep aid to take as needed. Which medication would the nurse anticipate the provider to order?
Paroxetine
Buspirone
Alprazolam
Amitriptyline
The Correct Answer is C
Alprazolam is a benzodiazepine that is commonly used to treat anxiety disorders and panic disorders ¹. It can also be used as a sleep aid due to its sedative effects ³.
Option A is not correct because paroxetine is an antidepressant and is not commonly used as a sleep aid.
Option B is not correct because buspirone is an anti-anxiety medication and is not commonly used as a sleep aid.
Option D is not correct because amitriptyline is an antidepressant and is not commonly used as a sleep aid.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Reduced hepatic blood flow can decrease the metabolism and excretion of many drugs, requiring that doses of some drugs be decreased ². This can increase the risk of medication toxicity in older adults.
Option B is not correct because reduced body fat is not a physiological change associated with aging.
Option C is not correct because the glomerular filtration rate decreases with age ².
Option D is not correct because gastric motility decreases with age ².

Correct Answer is B
Explanation
The therapeutic range for valproic acid is 50-100 mcg/mL ¹. In this case, the client has a serum range for valproic acid of 130 mcg/mL, which is above the therapeutic range but below the toxic level of >100 mcg/mL ¹. The nurse would anticipate that the provider will increase the daily dose of valproic acid to bring the serum range within the therapeutic range.
Option A is incorrect because the serum range is above the therapeutic range and changes may be needed.
Option C is incorrect because changing the medication may not be necessary if adjusting the dose can bring the serum range within the therapeutic range.
Option D is incorrect because decreasing the dose would lower the serum range further below the therapeutic range.

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