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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. The valve is prone to calcification: Mechanical valves resist calcification due to their synthetic composition. Calcification is more common in bio-prosthetic valves which degrade over time under pressure.
B. The client will require anticoagulation: Mechanical valves create turbulent blood flow and have a high risk of clot formation. Long-term anticoagulation therapy, typically with warfarin, is necessary to prevent thromboembolic complications such as stroke.
C. The valve should last for 10 to 15 years: Mechanical valves generally have excellent durability and often last over 20 years. This longevity makes them suitable for younger clients who can tolerate long-term anticoagulation therapy.
D. There is a low potential for thrombi formations so anticoagulation is not necessary:
Mechanical valve surfaces are highly thrombogenic and significantly elevate the risk for clot formation. Ongoing anticoagulation is a standard and essential component of postoperative care.

A. "Do you eat three meals per day?" B. "Who eats meals with you?" C. "Do you snack in the evening?" D. "How do you prepare your food?"

Correct Answer is D

No explanation

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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

Naxlex Comprehensive Predictor Exams

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Explanation

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