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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Related Questions
Correct Answer is C
Explanation
A. 100 mg:. The label clearly states that each capsule contains 25 mg of Indomethacin. There is no indication that multiple capsules are taken at once unless prescribed, so 100 mg is incorrect for a single capsule dosage.
B. 125 mg: This is not the indicated dose per capsule.
C. 25 mg: The label clearly indicates that each capsule contains 25 mg of Indomethacin. This is the correct dosage per capsule. Indomethacin is often available in 25 mg increments for safe titration and individualized dosing based on patient need.
D. 75 mg: While 75 mg is a common dosage form for some extended-release Indomethacin preparations, this particular label shows 25 mg immediate-release capsules. There is no mention of 75 mg on the drug label in this case.
Correct Answer is B
Explanation
A. "The oral medication you will take after this IV will dissolve the clot.": Oral anticoagulants like warfarin also do not dissolve existing clots. They work similarly to heparin by preventing the formation of new clots and allowing the body’s natural fibrinolytic mechanisms to break down existing ones over time.
B. "Heparin does not dissolve clots. It stops new clots from forming.": This is the most accurate explanation. Heparin is an anticoagulant that enhances antithrombin activity, inhibiting clotting factors and preventing clot propagation, but it does not actively lyse or dissolve clots.
C. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level.": Heparin given intravenously has a rapid onset of action, often within minutes. Therapeutic levels are typically reached quickly with continuous infusion, so this statement is inaccurate.
D. "A pharmacist is the person to answer that question.": While pharmacists are valuable for drug-related questions, nurses are expected to provide basic patient education regarding medications, including mechanism of action, especially during bedside care.
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