A nurse is caring for a client who is prescribed alprazolam to manage severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?
Avoid driving or operating heavy machinery until you know how alprazolam affects you.
Relief of manifestations should be expected after a few weeks of therapy.
Foods that are known to be high in dietary tyramine should be avoided.
Increase the dose of medication as needed if relief of manifestations is not experienced.
The Correct Answer is A
A. Alprazolam is a benzodiazepine that can cause drowsiness, dizziness, and impair motor coordination. Therefore, the nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them.
B. Alprazolam provides relatively quick relief of anxiety symptoms, often within hours, rather than requiring weeks of therapy like some other medications.
C. Foods high in tyramine are a concern for clients taking monoamine oxidase inhibitors (MAOIs), not alprazolam.
D. Increasing the dose without guidance from a healthcare provider is unsafe. The client should not adjust their medication dosage without consulting the provider.
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Related Questions
Correct Answer is A
Explanation
A. A common symptom of panic attacks is the intense feeling of fear of impending doom, which can overwhelm the individual during an attack. The client may feel like something catastrophic is going to happen, even if no actual threat exists.
B. Obsessions are more commonly associated with obsessive-compulsive disorder (OCD), not panic attacks.
C. Apathy, or lack of emotion or interest, is typically not associated with panic attacks but may be seen in depression or certain other mental health conditions.
D. Fever is not a symptom of panic attacks but could be indicative of an infection or illness.
Correct Answer is D
Explanation
A. Ineffective coping is important but secondary to addressing the immediate safety of the client.
B. While impaired parenting is a concern, the safety of the mother takes precedence over her ability to care for her child.
C. Anxiety is a symptom but does not pose as immediate a threat to the client’s well-being as the risk of self-harm.
D. Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety, as these feelings are a critical sign of potential harm to themselves.
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