A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?

Hypoglycemia

Bradycardia

Hypothermia

Hypokalemia

Answer and Explanation

The Correct Answer is B

Buspirone is an anxiolytic agent that primarily acts as a serotonin 5-HT1A receptor agonist. It is thought to cause bradycardia by enhancing serotonergic activity in the brain, which can influence heart rate. The exact mechanism of how buspirone causes bradycardia is not fully understood, but it is believed to be related to its action on the central nervous system and its effects on neurotransmitters.

A,C,D- Not related to buspirone

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Correct Answer is D

Explanation

Returning the mediation to the pharmacy allows for safe disposal A,B,C- Could lead to environmental contamination with potential hazards

A. Administer epinephrine 1M. B. Replace the infusion with 0.9% sodium chloride. C. Give diphenhydramine 1M, D. Elevate the client's legs and feet.

Correct Answer is A

Explanation

Epinephrine is administered as a priority in anaphylactic reaction to counter the mechanism of the reaction. Epinephrine helps to reverse the severe allergic response by constricting blood vessels, relaxing smooth muscles in the lungs to improve breathing, and reducing swelling and hives. It is typically administered intramuscularly (IM) into the thigh.

B-Replacing the infusion is important to maintain intravascular volume and blood pressure in the event of hypotension associated with the anaphylactic reaction but not a priority

C-Diphenhydramine helps in managing the cutaneous allergic manifestations but does not address the life-threatening effects

D-Elevation of the client’s feet and legs is not necessary

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A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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