A nurse is teaching a client with PTSD who is prescribed prazosin (Minipress). Which of the following statements should the nurse include in the teaching? (Select all that apply.).

“This medication will help reduce your nightmares and insomnia.”

“This medication will lower your blood pressure, so you should change positions slowly.”

“This medication will increase your appetite, so you should monitor your weight.”

“This medication will cause dry mouth, so you should drink plenty of fluids.”

“This medication will make you feel drowsy, so you should avoid driving or operating machinery.”

Answer and Explanation

Correct Answer : A,B

According to the web search results, prazosin (Minipress) is an alpha-1 adrenergic blocker that can help reduce nightmares and insomnia in clients with PTSD by blocking the effects of norepinephrine. It can also lower blood pressure by causing vasodilation, so clients should change positions slowly to prevent orthostatic hypotension.

Choice C is wrong because prazosin does not increase appetite or cause weight gain.

Choice D is wrong because prazosin does not cause dry mouth, but rather nasal congestion.

Choice E is wrong because prazosin does not cause drowsiness, but rather insomnia in some clients.

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Correct Answer is B

Explanation

Bupropion (Wellbutrin) is an antidepressant that works by increasing the levels of dopamine and norepinephrine in your brain. These are neurotransmitters that regulate mood, motivation, and reward.By increasing their levels, bupropion can help improve your symptoms of depression.

Choice A is wrong because it describes the mechanism of action of selective serotonin and norepinephrine reuptake inhibitors (SNRIs), such as venlafaxine (Effexor) or duloxetine (Cymbalta).These drugs block the reuptake of serotonin and norepinephrine, making more of them available in the synaptic cleft.

Choice C is wrong because it describes the mechanism of action of monoamine oxidase inhibitors (MAOIs), such as phenelzine (Nardil) or tranylcypromine (Parnate). These drugs inhibit the breakdown of serotonin and norepinephrine, as well as dopamine and tyramine, by the enzyme monoamine oxidase.This increases their levels in the brain, but also poses a risk of hypertensive crisis if the client consumes foods high in tyramine.

Choice D is wrong because it describes the mechanism of action of benzodiazepines, such as diazepam (Valium) or alprazolam (Xanax). These drugs enhance the activity of gamma-aminobutyric acid (GABA), which is an inhibitory neurotransmitter that reduces anxiety and induces relaxation.However, these drugs are not used to treat depression, and can cause dependence and withdrawal symptoms.

A. Akathisia B. Dystonia C. Tardive dyskinesia D. Parkinsonism.

Correct Answer is A

Explanation

According to the web search results, akathisia is an adverse effect of haloperidol, which is a medication used to treat Tourette syndrome. Akathisia is a condition that causes restlessness and an inability to sit still.

Choice B is wrong because Dystonia is wrong because it is a condition that causes involuntary muscle contractions and abnormal postures, not restlessness.

Choice C is wrong because Tardive dyskinesia is wrong because it is a condition that causes involuntary movements of the face, tongue, and limbs, not restlessness.

Choice D is wrong because Parkinsonism is wrong because it is a condition that causes tremors, rigidity, and bradykinesia, not restlessness.

Normal ranges for haloperidol are 0.5 to 20 ng/mL.

Higher levels can cause toxicity and adverse effects.

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A nurse is teaching a client with PTSD who is prescribed prazosin (Minipress). Which of the following statements should the nurse include in the teaching? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a dose of bupropion (Wellbutrin) to a client with depression. The client asks the nurse, “How does this medication work?” Which of the following responses should the nurse give?

Correct Answer is B

Explanation

A nurse is assessing a client with Tourette syndrome who is taking haloperidol (Haldol).The client reports feeling restless and unable to sit still. The nurse recognizes this as a sign of which medication complication?

Correct Answer is A

Explanation

A nurse is reviewing the medication history of a client who is prescribed buspirone (BuSpar) for anxiety. The nurse should identify that which of the following medications can interact with buspirone and increase the risk of serotonin syndrome?

A nurse is caring for a client with OCD who is taking fluoxetine (Prozac). The nurse should monitor the client for which adverse effect of this medication?

A nurse is teaching a client with PTSD who is prescribed prazosin (Minipress). Which of the following statements should the nurse include in the teaching? (Select all that apply.).