A nurse is planning care for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse plan to monitor?
Manifestations of seizure activity
Inability to recall events
Increase in white blood cell count
Decreased urine output
The Correct Answer is B
A. Manifestations of seizure activity are not a typical adverse effect of alprazolam. In fact, seizures could occur if the medication is abruptly discontinued or misused, but they are not a direct, common side effect of alprazolam.
B. Inability to recall events is correct. Alprazolam, which is a benzodiazepine, has a sedative and calming effect on the central nervous system. One of the common side effects of benzodiazepines, including alprazolam, is amnesia or difficulty recalling events (also called anterograde amnesia). This occurs because of the drug's effect on memory and cognitive function.
C. Increase in white blood cell count is not a known side effect of alprazolam. Benzodiazepines typically do not affect white blood cell counts, and an increase in WBC would suggest an infection or other conditions unrelated to alprazolam.
D. Decreased urine output is not typically associated with alprazolam. This drug does not have significant effects on renal function or urine output, so decreased urine output is not an expected adverse effect.
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Related Questions
Correct Answer is C
Explanation
A. Instruct the client on relaxation techniques for use when anxiety increases. While relaxation techniques can help manage anxiety, it is more important initially to understand the client's triggers for compulsive behaviors before teaching coping strategies. This helps in addressing the root cause of the anxiety.
B. Discuss alternative coping strategies with the client. Although this is a valuable part of long-term management, addressing the triggers for the ritualistic behaviors takes priority to develop a focused and personalized plan for coping.
C. Identify precipitating factors for ritualistic behaviors. This is the most important first step. Identifying the triggers for the obsessive-compulsive behaviors allows the nurse to understand the specific anxiety or distress causing the compulsive actions. Once these factors are known, it becomes easier to develop an appropriate care plan to reduce or manage the compulsive rituals.
D. Provide a structured activity schedule for the client. While structure can be helpful for clients with OCD, it is more important to understand the underlying anxiety and compulsive behaviors first. Providing a schedule without understanding the triggers might not be as effective.
Correct Answer is A
Explanation
A. Wernicke-Korsakoff syndrome is most commonly associated with chronic alcohol use disorder, leading to thiamine deficiency, which results in the neurological symptoms of the syndrome.
B. Opiate addiction is not directly related to Wernicke-Korsakoff syndrome, which is primarily linked to alcohol abuse and thiamine deficiency.
C. While HIV can cause neurological impairments, it is not typically associated with Wernicke-Korsakoff syndrome.
D. Alzheimer's disease has a different pathophysiology and is not directly related to Wernicke-Korsakoff syndrome, though both involve cognitive impairment.
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