A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?
Encourage the client to continue taking benzodiazepines as needed
Advise the client to stop taking benzodiazepines abruptly
Educate the client about the risks of benzodiazepine dependence and withdrawal
Suggest alternative therapies for anxiety such as meditation or exercise
The Correct Answer is C
Correct answer: c) Educate the client about the risks of benzodiazepine dependence and withdrawal
Rationale: Taking more than the prescribed dose of benzodiazepines can lead to physical and psychological dependence, tolerance, and withdrawal symptoms. The nurse should educate the client about these risks and advise them to consult with their prescriber before making any changes to their medication regimen.
Incorrect choices:
a) Encourage the client to continue taking benzodiazepines as needed: This can worsen the client's dependence, tolerance, and withdrawal symptoms.
b) Advise the client to stop taking benzodiazepines abruptly: This can cause severe withdrawal symptoms such as seizures, delirium, or death.
d) Suggest alternative therapies for anxiety such as meditation or exercise: While these therapies can be helpful for anxiety management, they are not a substitute for medication therapy for clients who have been prescribed benzodiazepines.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Correct answer: c) Educate the client about the risks of benzodiazepine dependence and withdrawal
Rationale: Taking more than the prescribed dose of benzodiazepines can lead to physical and psychological dependence, tolerance, and withdrawal symptoms. The nurse should educate the client about these risks and advise them to consult with their prescriber before making any changes to their medication regimen.
Incorrect choices:
a) Encourage the client to continue taking benzodiazepines as needed: This can worsen the client's dependence, tolerance, and withdrawal symptoms.
b) Advise the client to stop taking benzodiazepines abruptly: This can cause severe withdrawal symptoms such as seizures, delirium, or death.
d) Suggest alternative therapies for anxiety such as meditation or exercise: While these therapies can be helpful for anxiety management, they are not a substitute for medication therapy for clients who have been prescribed benzodiazepines.
Correct Answer is A
Explanation
Correct answer: a) Ibuprofen (Advil)
Rationale: Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the blood levels of lithium by reducing its renal excretion. This can result in lithium toxicity, which can cause nausea, vomiting, tremors, confusion, and seizures.
Incorrect choices:
b) Levothyroxine (Synthroid): Levothyroxine and other thyroid hormones do not interact with lithium.
c) Omeprazole (Prilosec): Omeprazole and other proton pump inhibitors (PPIs) do not interact with lithium.
d) Metformin (Glucophage): Metformin and other antidiabetic drugs do not interact with lithium.
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