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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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 B
Explanation
Correct answer: b) Agitation and paranoia
Rationale: Agitation and paranoia are signs of stimulant intoxication and indicate that the client is experiencing a psychotic reaction to amphetamines. The nurse should provide a calm and safe environment, administer antipsychotics if ordered, and monitor the client for violence or self-harm.
Incorrect choices:
a) Hypotension and bradycardia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
c) Slurred speech and ataxia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
d) Sedation and respiratory depression: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
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