A nurse is teaching a female client who has anxiety disorder about alprazolam. Which of the following information should the nurse include in the teaching?
"Do not eat aged cheeses while taking this medication."
"This medication may increase your blood pressure."
"If a dose is missed, double the next dose of medication."
"Use a reliable form of contraception while taking this medication."
The Correct Answer is D
A. Alprazolam, a benzodiazepine, does not have a known interaction with aged cheeses. However, foods high in tyramine, like aged cheeses, can interact with certain medications, such as monoamine oxidase inhibitors (MAOIs), but not with alprazolam.
B. Alprazolam typically does not increase blood pressure. In fact, benzodiazepines like alprazolam generally have a calming effect and may actually lower blood pressure due to their sedative properties.
C. If a dose of alprazolam is missed, the client should not double the next dose. They should take the missed dose as soon as they remember, unless it is almost time for the next dose, in which case they should skip the missed dose. Doubling the dose can increase the risk of overdose and sedation.
D. Alprazolam can have teratogenic effects, especially in the first trimester of pregnancy. It is important to use reliable contraception to prevent pregnancy while taking alprazolam, and the client should discuss the medication with their provider if they are planning to become pregnant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Neuroleptic malignant syndrome (NMS) is a potentially life-threatening condition that can occur in clients taking antipsychotic medications like haloperidol. Symptoms include hyperthermia (high fever), autonomic dysregulation (elevated blood pressure), and muscle rigidity. These symptoms are consistent with the client's presentation, making NMS the most likely diagnosis.
B. Agranulocytosis is a serious side effect of antipsychotic medications, particularly clozapine, but it is not typically associated with elevated temperature, blood pressure, and muscle rigidity. It usually presents with signs of infection, such as fever, sore throat, and low white blood cell count.
C. Akathisia is characterized by restlessness, fidgeting, and an inability to sit still, but it does not typically involve high fever, elevated blood pressure, or muscle rigidity.
D. Tardive dyskinesia is a chronic condition that results in involuntary, repetitive movements, often involving the face and limbs. It is not associated with the acute symptoms of fever, high blood pressure, and muscle rigidity seen in this client.
Correct Answer is B
Explanation
A. Administering methylphenidate at bedtime is not recommended because it is a stimulant and can cause insomnia. It should typically be given in the morning and sometimes early afternoon to minimize sleep disturbances.
B. Caffeine is a stimulant, and combining it with methylphenidate can increase the risk of side effects such as nervousness, jitteriness, and insomnia. Therefore, limiting caffeine intake is important.
C. Methylphenidate is more likely to cause dry mouth rather than increased salivation.
D. This medication is commonly associated with appetite suppression and weight loss, not weight gain. Monitoring the child's growth and nutritional intake is essential.
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