A student nurse is studying drugs for anxiety and insomnia.
Which of the following should be avoided as they counteract anxiolytics and sedatives and may worsen anxiety symptoms?
Coffee
Tea
Chocolate
All of the above
The Correct Answer is D
Choice A rationale
Coffee contains caffeine, a stimulant that can increase alertness and counteract the effects of anxiolytics and sedatives. However, not all individuals with anxiety or insomnia need to avoid coffee. Some people may find that they can tolerate a small amount of caffeine without it worsening their symptoms.
Choice B rationale
Like coffee, tea also contains caffeine, which can counteract the effects of anxiolytics and sedatives. However, the amount of caffeine in tea is usually less than in coffee, and some types of tea, such as herbal teas, are naturally caffeine-free.
Choice C rationale
Chocolate, especially dark chocolate, contains small amounts of caffeine. However, the amount of caffeine in chocolate is usually much less than in coffee or tea. Some people with anxiety or insomnia may find that they can tolerate chocolate without it worsening their symptoms.
Choice D rationale
All of the above (coffee, tea, and chocolate) contain caffeine, which can counteract the effects of anxiolytics and sedatives and may worsen anxiety symptoms. Therefore, individuals taking these medications for anxiety and insomnia should be advised to avoid or limit their intake of these items.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate or inflame the lining of your stomach and small intestine, leading to a peptic ulcer. Taking other medications along with NSAIDs, including steroids, anticoagulants or anti-platelet agents, can affect ulcer healing or worsen ulcer complications, such as bleeding.
Choice B rationale
Antacids are often used to neutralize stomach acid and can help to relieve the symptoms of a peptic ulcer.
Choice C rationale
H2 blockers are medications that reduce the amount of acid your stomach produces. They are often used to treat conditions that cause excess stomach acid, including peptic ulcers.
Choice D rationale
Proton pump inhibitors (PPIs) are a type of medication that reduces the production of stomach acid. They are often used to treat conditions such as peptic ulcers.
Correct Answer is A
Explanation
Choice A rationale
Misoprostol (Cytotec) is contraindicated in pregnant women because it can induce labor or cause miscarriages. It is sometimes used in obstetrics to induce labor or to treat postpartum hemorrhage, but it should never be used in pregnant women to treat peptic ulcers.
Choice B rationale
There is no contraindication for using misoprostol in a client who has osteoarthritis.
Choice C rationale
Misoprostol does not interact with medications typically used to treat urinary tract infections, and there is no contraindication for its use in these clients.
Choice D rationale
Misoprostol does not interact with medications typically used to treat kidney stones, and there is no contraindication for its use in these clients.
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