A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?

Take this medication on an empty stomach.

Expect optimal therapeutic effects within 24 hr.

Avoid drinking grapefruit juice while taking this medication.

This medication has a high risk for dependence.

Answer and Explanation

The Correct Answer is C

Avoid drinking grapefruit juice while taking this medication. This is because grapefruit juice can increase the blood levels of buspirone and cause adverse effects such as drowsiness, dizziness, and nausea.

Choice A is wrong because taking this medication on an empty stomach can cause stomach upset and reduce its absorption. It is better to take buspirone with food or milk.

Choice B is wrong because optimal therapeutic effects of buspirone can take several weeks to develop. It is not a fast-acting medication like benzodiazepines.

Choice D is wrong because this medication has a low risk for dependence compared to other anti-anxiety drugs. Buspirone does not cause withdrawal symptoms or tolerance.

The normal dosage range for buspirone is 15 to 60 mg per day in divided doses. The normal blood level of buspirone is 1 to 6 ng/mL.

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Correct Answer is ["C"]

Explanation

The client may experience hypertensive crisis if aged cheese or red wine are consumed while taking this medication.This is because aged cheese and red wine contain tyramine, an amino acid that can cause a dangerous increase in blood pressure when mixed with MAOIs.MAOIs are drugs that inhibit the enzyme that breaks down excess tyramine in the body.A hypertensive crisis can be deadly and requires emergency treatment.

Choice A and B are partially correct, but not complete. The client should be advised to avoid aged cheese and red wine while taking this medication, but this does not explain why or what could happen if they do not.

Choice D is wrong because serotonin syndrome is caused by too much serotonin, not tyramine.Serotonin syndrome can occur when MAOIs are taken with other drugs that increase serotonin levels, such as SSRIs.

Choice E is wrong because hypotension is low blood pressure, not high blood pressure.

Tyramine can cause hypertension, not hypotension.Hypotension can be a side effect of some MAOIs, but it is not related to tyramine intake.

A. “You can stop taking the medication as long as you taper off gradually.” B. “You should continue taking the medication until your doctor tells you to stop.” C. “You can stop taking the medication immediately without any problems.” D. “You should switch to a non-benzodiazepine medication instead.”

Correct Answer is A

Explanation

You can stop taking the medication as long as you taper off gradually.

This is because lorazepam (Ativan) is a benzodiazepine that can cause physical dependence and withdrawal symptoms if stopped abruptly.Tapering off the dose reduces the risk of withdrawal and rebound anxiety or insomnia.

Choice B is wrong because continuing to take the medication indefinitely may increase the risk of tolerance, dependence, and adverse effects such as sedation, confusion, and memory impairment.

Choice C is wrong because stopping the medication immediately can cause severe withdrawal symptoms such as seizures, tremors, agitation, and hallucinations.

Choice D is wrong because switching to a non-benzodiazepine medication without tapering off lorazepam may not prevent withdrawal symptoms and may cause drug interactions or adverse effects from the new medication.

Normal ranges for lorazepam (Ativan) are 0.02 to 0.03 mg/kg/day divided into two or three doses for anxiety and 0.01 to 0.02 mg/kg at bedtime for insomnia.

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A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

Correct Answer is ["C"]

Explanation

A nurse is caring for a client who has been taking lorazepam (Ativan) for anxiety and insomnia for several months. The client tells the nurse that he wants to stop taking the medication because he feels better now. Which of the following responses should the nurse give?

Correct Answer is A

Explanation

A patient has been prescribed an SSRI for depression and reports feeling more anxious since starting the medication. The nurse should:

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