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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
According to web search results, carbamazepine (Tegretol) can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention.A rash is an early sign of this condition and should be reported to the health care provider as soon as possible.
Choice A is wrong because drowsiness is a common side effect of carbamazepine (Tegretol) and does not indicate a serious problem.However, the client should be advised to avoid driving or operating machinery until the drowsiness subsides.
Choice B is wrong because nausea and vomiting are also common side effects of carbamazepine (Tegretol) and can be minimized by taking the medication with food or milk.The client should be instructed to drink plenty of fluids and report any signs of dehydration or electrolyte imbalance.
Choice D is wrong because dry mouth is another common side effect of carbamazepine (Tegretol) and can be relieved by sucking on sugarless candy or ice chips, chewing sugarless gum, or using saliva substitutes.The client should also maintain good oral hygiene and have regular dental check-ups to prevent dental problems.
Correct Answer is A
Explanation
Avoid exposure to sunlight.Imipramine (Tofranil) is a tricyclic antidepressant that can cause photosensitivity and increase the risk of sunburn.The nurse should instruct the client to wear sunscreen, protective clothing, and sunglasses when outdoors.
Choice B is wrong because taking imipramine on an empty stomach can cause nausea and vomiting.The nurse should advise the client to take the medication with food or milk.
Choice C is wrong because discontinuing imipramine abruptly can cause withdrawal symptoms such as headache, nausea, and malaise.The nurse should instruct the client to taper off the medication gradually under the supervision of the provider.
Choice D is wrong because increasing intake of foods rich in vitamin K is not related to imipramine therapy.Vitamin K is a clotting factor that can interact with anticoagulants such as warfarin.Imipramine does not affect vitamin K levels or coagulation.
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