A nurse is educating a client who has been prescribed Buspirone for generalized anxiety disorder. Which of the following statements by the client indicates a correct understanding of the medication?
"I will need to take this medication for several weeks before noticing its full effects."
"If I don't feel better after one week, I will stop taking the medication."
"I should feel less anxious within an hour of taking the first dose."
"I can use this medication as needed when I feel a panic attack coming on."
The Correct Answer is A
A. "I will need to take this medication for several weeks before noticing its full effects.": Buspirone is an anxiolytic that works by modulating serotonin and dopamine receptors. Unlike benzodiazepines, it has a delayed onset of action, typically requiring 2–4 weeks of consistent use to achieve its full therapeutic benefit.
B. "If I don't feel better after one week, I will stop taking the medication.": Stopping Buspirone prematurely can prevent the medication from reaching its full effect. It requires patient adherence and time for therapeutic levels to build; discontinuation should only be under a provider’s guidance.
C. "I should feel less anxious within an hour of taking the first dose.": Buspirone does not provide immediate relief of anxiety symptoms. It is not effective for acute anxiety or panic attacks due to its slow onset and gradual buildup in the system.
D. "I can use this medication as needed when I feel a panic attack coming on.": Buspirone is not intended for PRN (as-needed) use. It must be taken on a scheduled basis to maintain steady blood levels and is not useful for rapid symptom relief in panic situations.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Montelukast: This leukotriene receptor antagonist is used for long-term asthma control and prevention of exercise-induced bronchospasm. It is not effective for treating acute asthma attacks due to its delayed onset of action.
B. Salmeterol: This is a long-acting beta-2 agonist (LABA) used for maintenance therapy in asthma. It has a slower onset and should never be used for rapid symptom relief during an acute attack, as doing so can delay appropriate treatment.
C. Albuterol: Albuterol is a short-acting beta-2 agonist (SABA) that provides rapid bronchodilation and is the first-line rescue medication for aborting an acute asthma attack. It works within minutes to relieve bronchospasm and improve airflow.
D. Beclomethasone: This inhaled corticosteroid is used for long-term asthma management by reducing airway inflammation. It is not effective in acute situations because it does not provide immediate bronchodilation.
Correct Answer is A
Explanation
A. "If my pain persists, I can safely increase the dose to 1500 mg every 4–6 hours.": This dose exceeds the maximum safe limit for acetaminophen. The recommended adult dose is no more than 1000 mg per dose and 4000 mg per day. Exceeding this can lead to serious hepatotoxicity, especially with prolonged use or preexisting liver conditions.
B. "I should use caution when taking acetaminophen with warfarin as it may affect my INR levels.": Acetaminophen can increase the anticoagulant effect of warfarin, possibly elevating INR and increasing the risk of bleeding. Regular monitoring is recommended when both drugs are used concurrently.
C. "I need to be cautious when taking other medications that may contain acetaminophen.": Many over-the-counter medications, such as cold and flu remedies, also contain acetaminophen. Accidental overdose can occur if this is not considered when calculating total daily intake.
D. "I should contact my healthcare provider if I experience yellowing of the skin or eyes.": Jaundice may be a sign of liver damage or failure due to acetaminophen toxicity. Early recognition of this symptom is critical for preventing serious complications.
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