A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?
"Stop taking alprazolam right away if you experience abdominal discomfort."
"Watch for drowsiness and light-headedness while taking alprazolam."
"Drinking alcohol decreases the effectiveness of alprazolam."
"This medication has a low risk for physical dependence."
The Correct Answer is B
A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tinnitus, or ringing in the ears, is a common adverse effect of aminoglycosides such as gentamycin which cause ototoxicity, rather than erythromycin which is a macrolide.
B. Constipation with abdominal cramping, is not a commonly reported side effect of erythromycin; this medication is more likely to cause diarrhea rather than constipation.
C. Common adverse effects of oral erythromycin include gastrointestinal symptoms such as abdominal cramping and nausea. Therefore, the statement indicating the client is experiencing a common adverse effect would be having a small amount of yellow emesis which aligns with the reported side effects of nausea and vomiting.
D. Swollen lips are not a common adverse effect of erythromycin. This symptom may indicate an allergic reaction or another issue unrelated to the medication.
Correct Answer is A
Explanation
A. Respiratory depression is a potential side effect of magnesium sulfate toxicity.
Administering calcium gluconate can antagonize the effects of magnesium on smooth muscle and cardiac tissue, helping to counteract respiratory depression and other symptoms of magnesium toxicity.
B. Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, not magnesium sulfate toxicity.
C. Protamine sulfate is used to reverse the anticoagulant effects of heparin, not magnesium sulfate toxicity.
D. Naloxone is an opioid antagonist used to reverse the effects of opioid overdose, not magnesium sulfate toxicity.
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