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.

Answer and Explanation

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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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.

A. The client reports that voices are telling him to write a novel. B. The client is dressed in all black C. The client responds to questions with disorganized speech. D. The client's spouse reports that client has recently gained weight.

Correct Answer is C

Explanation

A. Hearing voices could indicate psychosis, which is not specifically linked to acute mania in bipolar disorder. Mania may involve delusions or grandiosity but not auditory hallucinations.

B. Dressing in all black is not specific to acute mania and could be related to personal style or another mood state.

C. Disorganized speech is a hallmark symptom of acute mania in bipolar disorder. The individual may exhibit flight of ideas, rapid speech, or incoherent thoughts.

D. Weight gain is more commonly associated with depression or medication side effects, not acute mania.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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