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 {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
- Hypertension: Seen in anticholinergic toxicity due to decreased parasympathetic tone and possible unopposed sympathetic stimulation. The body's inability to relax vascular tone may contribute to elevated blood pressure.
- Urinary Retention: A classic feature of anticholinergic toxicity. Inhibition of muscarinic receptors leads to impaired detrusor muscle contraction, making urination difficult or impossible.
- Hyperthermia: Results from inhibited sweating (anhidrosis), which is a hallmark of anticholinergic toxicity. Without the ability to cool through evaporation, body temperature rises dangerously.
- Diaphoresis: Excessive sweating is mediated by muscarinic receptor activation in cholinergic toxicity. It's often part of the SLUDGE symptoms seen in organophosphate poisoning or cholinesterase inhibitor overdose.
- Bronchoconstriction: Caused by overstimulation of muscarinic receptors in the airways, leading to narrowed bronchi and increased respiratory secretions — a dangerous feature of cholinergic excess.
- Salivation: Prominent in cholinergic toxicity due to unopposed parasympathetic activation. It may occur along with lacrimation, bradycardia, and other signs of excessive cholinergic stimulation.
Correct Answer is ["02.03"]
Explanation
Given time = 2:03 am
For times between 12:00 am (midnight) and 9:59 am, military time uses a leading zero for the hour.
Hour in traditional time = 2
Military time hour = 02
The minutes remain the same.
Minutes = 03
Military time = 02:03
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