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Benzodiazepines
Non-benzodiazepines
Common Side Effects
Nursing
Considerations
CAMs
100
An elderly patient in a locked psychiatric unit is experiencing increased feelings of doom, is pacing, and is short of breath. The nurse expects to administer which of the following drugs? a. 1 mg of lorazepam (Ativan) b. 6 mg of lorazepam (Ativan) c. 5 mg of Melatonin d. 10 mg of fluoxetine (Prozac)
a. 1 mg of lorazepam (Ativan)
100
A 16 y.o. patient comes into the clinic and tells the nurse that he does not feel better one week after beginning Buspirone (BuSpar). Which response by the nurse is best? a. “I’m going to have to tell your parents.” b. “Tell me more about how often you take your medication." c. “I will increase your dose of BuSpar.” d. “These types of medications take a few weeks to start working."
b. “Tell me more about how often you take your medication."
100
1) An elderly woman in an inpatient psychiatric unit complains of extreme fatigue, is wandering on the unit, and missed both breakfast and lunch. The nurse expects that the patient’s change in behavior is due to: a. newly emerging symptoms of depression b. anger, because no one woke her up on time c. side effects of the patient's new medication, oxazepam (Serax) d. UTI
c. side effects of the patient's new medication, oxazepam (Serax)
100
In order to minimize withdrawal symptoms after taking a short course of benzodiazepines, the nurse should advise the patient to do the following when discontinuing the medication: a. Always take the benzodiazepine with food b. Do not discontinue the medication c. Follow the physician’s orders for tapering the medication slowly d. Take an antiemetic to prevent nausea and vomiting, a primary withdrawal symptom
c. Follow the physician’s orders for tapering the medication slowly
100
In addition to taking Zolpidem (Ambien), a nurse might suggest the patient with history of insomnia also try the following: a. Go to bed with the television on for “white noise” while sleeping b. Wake up at 0400 to ensure they are tired at night c. Establish a bedtime routine d. Exercise once during the day and once right before bed
c. Establish a bedtime routine
300
2) The RN in the ED gets report on a suicidal patient coming in by ambulance that overdosed on diazepam (Valium). Which symptoms should the nurse expect to observe? (Select all that apply) a. respiratory depression b. HTN c. angina d. palpitations e. confusion
a. respiratory depression e. confusion
300
2) A woman with a history of generalized anxiety disorder comes into the clinic for her first OB appointment. The nurse expects that which medication will be discontinued: a. Buspirone (BuSpar) b. loratadine (Claritin) c. Metamucil d. Benadryl
a. Buspirone (BuSpar)
300
2) A nurse just finished giving a patient 4 mg of alprazolam (Xanax). 15 minutes later, the patient runs up to the nurse’s window and angrily yells “the Nazis are attacking, hide for cover!”. The nurse suspects: a. She gave the patient too much medication b. The patient is experiencing a paradoxical rage reaction c. She gave the patient too little medication d. The patient is sleepwalking
b. The patient is experiencing a paradoxical rage reaction
300
2) Medications currently used to treat anxiety disorders can include those from which of the following drug classifications? (Select all that apply) a. SSRI Antidepressants (ie: Duloxetine) b. Beta Blockers (ie: Propanolol) c. Barbituates (ie: Pentobarbital) d. Benzodiazepines (ie: Xanax) e. Antibiotics (ie: Penicillin)
a. SSRI Antidepressants (ie: Duloxetine) b. Beta Blockers (ie: Propanolol) d. Benzodiazepines (ie: Xanax)
300
“The basic premise is that muscle tension is related to anxiety. This technique involves tensing and relaxing voluntary muscles in an orderly sequence” describes which of the following non-pharmacological therapies for anxiety? a. relaxation training b. guided imagery c. muscular relaxation d. modified yoga
a. relaxation training
500
3) A patient with a history of anxiety confesses in group therapy that he has been drinking heavily after the death of his spouse. He later asks the nurse for his usual dose of clonazepam (Klonopin). Which response by the nurse is best? a. “Since you’re an alcoholic, you can’t have Klonopin”. b. “You should go back to your room and relax for an hour”. c. “Tell me more about your current feelings of anxiety”. d. “It may be dangerous for you to take your usual dose of Klonopin after drinking heavily”.
d. “It may be dangerous for you to take your usual dose of Klonopin after drinking heavily”.
500
3) A newly admitted patient in the inpatient psychiatric unit has a history of chemical dependence. The nurse expects the physician to order which medication for anxiety? a. Alprazolam (Xanax) b. Chlordiazepoxide (Librium) c. Diazepam (Valium) d. Hydroxyzine (Atarax)
a. Alprazolam (Xanax)
500
The nurse suspects her patient, upon arriving on the medical-surgical floor, is experiencing side effects of his long-term antianxiety medication. Which of the following patient symptoms agree with the nurse’s observation? (Select all that apply) a. drowsiness b. dilated pupils c. amnesia d. diaphoresis e. hyperventilation
a. drowsiness c. amnesia
500
The nurse should intervene if the patient taking Diazepam (Valium), 20 mg PO BID plans to do which of the following activities after discharge: a. Relax and catch up on some reading at home b. Drive cross-country to visit a daughter, son-in-law and new grandson c. Do some light gardening with a spouse d. Begin an exercise plan which involves walking around a local park
b. Drive cross-country to visit a daughter, son-in-law and new grandson
500
A nursing student with Trypanophobia (fear of injections) refuses to give a patient his scheduled heparin injection. The nurse suggests that the nursing student should ask their PHCP for information on the following therapies for anxiety. Select all that apply: a) visualization b) systematic desensitization c) behavior modification d) in vivo desensitization e) role playing f) biofeedback
a) visualization b) systematic desensitization c) behavior modification d) in vivo desensitization f) biofeedback