One week ago, the client was prescribed Buspirone (Buspar) for anxiety. The client phones the office and reports the medication has not eliminated the symptoms. Which is the best response by the nurse?

"There are many other medications that can be offered."

"It may take up to 4 weeks for full therapeutic response."

"Call back in one week if the symptoms continue."

"Buspar will not eliminate all symptoms associated with anxiety."

Answer and Explanation

The Correct Answer is B

A. "There are many other medications that can be offered.": This prematurely suggests changing the medication without allowing adequate time for therapeutic effect. Buspirone requires consistent use over time to evaluate effectiveness.
B. "It may take up to 4 weeks for full therapeutic response.": Buspirone is a non-benzodiazepine anxiolytic that works gradually, with therapeutic effects typically developing over 2 to 4 weeks. This response provides accurate information and helps manage expectations.
C. "Call back in one week if the symptoms continue.": While follow-up is important, this response delays giving the client valuable information about the expected time frame for symptom relief, which could lead to premature discontinuation.
D. "Buspar will not eliminate all symptoms associated with anxiety.": While it's true that the goal of anxiety treatment is often symptom management rather than complete elimination, this response doesn't address the client's concern about the lack of any symptom relief after one week. It also doesn't provide information about when they might start to experience benefits.

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Correct Answer is A

Explanation

A. Alveoli: The alveoli are responsible for gas exchange, including the removal of CO₂. Impaired alveolar function leads to CO₂ retention and respiratory acidosis, commonly seen in conditions like COPD or pneumonia.
B. The pulmonary artery: The pulmonary artery carries deoxygenated blood to the lungs but does not directly participate in gas exchange. Impairment here affects perfusion, not CO₂ elimination.
C. The pulmonary vein: The pulmonary vein returns oxygenated blood to the heart and is not involved in gas exchange. Elevated CO₂ is not typically linked to vein function.
D. Bronchi: The bronchi conduct air but do not facilitate gas exchange. While obstruction can contribute to CO₂ retention, the alveoli are primarily responsible for its removal.

A. "Confirmation is achieved by ruling out other diseases that manifest similar symptoms." B. Diagnosis takes time to consult the specialist and to get those reports." C. "We should have the conclusion of the tests soon. Hang in there." D. "Psychotherapy will provide the best data to make a diagnosis."

Correct Answer is A

Explanation

A. "Confirmation is achieved by ruling out other diseases that manifest similar symptoms.": Psychobiologic diagnoses are often made through exclusion since many medical and psychiatric conditions present with overlapping symptoms. This explanation is medically accurate and helps the client understand the diagnostic process.
B. "Diagnosis takes time to consult the specialist and to get those reports.": While this may be true, it lacks specific detail about the diagnostic process. It may come across as vague or dismissive rather than informative and supportive during a stressful time.
C. "We should have the conclusion of the tests soon. Hang in there.": This is a supportive statement but provides no meaningful information. It does not validate the client’s frustration or explain the nature of psychobiologic diagnosis.
D. "Psychotherapy will provide the best data to make a diagnosis.": Psychotherapy is primarily used for treatment, not diagnosis. While it may help reveal symptoms, the diagnostic process relies more on clinical assessment and the exclusion of medical conditions.

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One week ago, the client was prescribed Buspirone (Buspar) for anxiety. The client phones the office and reports the medication has not eliminated the symptoms. Which is the best response by the nurse?

Nursing Test Bank

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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