An agitated, extremely anxious client is brought to the emergency department and the provider orders alprazolam. The nurse understands alprazolam is appropriate to administer in this situation due to which of the following reasons?
Alprazolam does not suppress the central nervous system.
Alprazolam is known to cure generalized anxiety.
Physical dependence is not a risk when taking alprazolam.
Alprazolam has a rapid onset of action.
The Correct Answer is D
Alprazolam is a benzodiazepine that is commonly used to treat anxiety disorders and panic disorders ¹². It works by enhancing the activity of certain neurotransmiters in the brain ¹.
Option A is not correct because alprazolam does suppress the central nervous system ¹.
Option B is not correct because alprazolam does not cure generalized anxiety but rather helps manage its symptoms ¹².
Option C is not correct because physical dependence can be a risk when taking alprazolam ¹.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Donepezil is a medication used to treat Alzheimer's dementia. Its main mechanism of action is the inhibition of the acetylcholinesterase enzyme in the brain ¹. This increases the availability of acetylcholine at cholinergic synapses ⁵, which can improve cognition and function in clients with Alzheimer's dementia ¹.
Option B is incorrect because donepezil does not decrease acetylcholine in the periphery to increase movement.
Option C is incorrect because donepezil does not delay the transmission of acetylcholine at the neuronal junction.
Option D is incorrect because donepezil does not bind dopamine at neuron receptor sites to increase ability.
Correct Answer is B
Explanation
The nurse would need to report an oral temperature of 101 F to the provider immediately. This could be a sign of neuroleptic malignant syndrome (NMS), a rare but potentially life-threatening reaction to antipsychotic medications such as haloperidol ¹. NMS can cause high fever, muscle rigidity, and changes in mental status ¹.
Option A is incorrect because dry mouth is a common side effect of haloperidol and would not need to be reported to the provider immediately ².
Option C is incorrect because drowsiness is a common side effect of haloperidol and would not need to be reported to the provider immediately ⁴.
Option D is incorrect because a blood pressure of 104/72 mmHg is within the normal range and would not need to be reported to the provider immediately.
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