Chapter 19: Antianxiety Drugs Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. The nurse is assessing a breastfed infant at a well-child visit and determines the child is lethargic and losing weight. The infant’s mother has a history of anxiety. Which assessment question should the nurse prioritize? a. "Are you currently taking any medications?" b. "Is the infant sleeping well at night?" c. "Are you giving the infant any over-the-counter medications?" d. "Has the infant been sick lately?" Answer: A Rationale: The nurse should inquire if the mother is taking any medications, specifically benzodiazepines, such as alprazolam, chlordiazepoxide, and lorazepam. When taken by a breastfeeding mother they can result in lethargy and weight loss in the infant. The other questions might be appropriate if the mother is not using benzodiazepines to further assess the infant and determine the cause of the lethargy and weight loss. Question Format: Multiple Choice Chapter: 19 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 236, Contraindications 2. A nurse is caring for a client who is receiving alprazolam. The nurse would be alert for which symptom as an initial adverse reaction with this drug? a. Heartburn b. Anorexia c. Headache d. Anxiety Answer: C Rationale: The nurse should assess for headache as the initial adverse reaction in the client after administering alprazolam. Heartburn and anorexia are not adverse reactions commonly observed. This medication relieves anxiety. Question Format: Multiple Choice Chapter: 19 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 235, Adverse Reactions 3. A client with a history of treatment for heart failure is prescribed buspirone. Which adverse reaction should the nurse prioritize? a. Sedation b. Respiratory depression c. Digitalis toxicity d. Central nervous system depression Answer: C Rationale: The client faces an increased risk for digitalis toxicity due to the effect of interaction of buspirone with digoxin. Increased risk for sedation and respiratory depression are caused by the interaction of buspirone with tricyclic antidepressants and antipsychotics. Increased risk for central nervous system depression is caused by the interaction of buspirone with alcohol. Question Format: Multiple Choice Chapter: 19 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 236, Interactions 4. A client with anxiety is prescribed anxiolytic therapy. Before administering the drug, which symptoms of anxiety would the nurse expect to find on the preadministration assessment? a. Increased blood pressure b. Decreased muscle tension c. Increased glucose level d. Decreased pulse rate Answer: A Rationale: Increased blood pressure is a manifestation of anxiety. Additional manifestations include increased pulse rate and increased muscle tension. Increased glucose levels are not associated with anxiety. Question Format: Multiple Choice Chapter: 19 Learning Objective: 2 Cognitive Level: Apply Client Needs: Psychological Integrity Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 237, Preadministration Assessment 5. A nurse is preparing to administer buspirone to a client with anxiety. The nurse should question this order if which disorder is noted in the client's past history? a. Cataract b. Diabetic retinopathy c. Acute gout d. Psychoses Answer: D Rationale: The use of buspirone is contraindicated in clients with hypersensitivity, psychoses, and acute narrow-angle glaucoma. Ethambutol is contraindicated in clients with cataracts and diabetic retinopathy. Pyrazinamide is contraindicated in clients with acute gout. Question Format: Multiple Choice Chapter: 19 Learning Objective: 1 Cognitive Level: Analyze Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 236, Contraindications 6. A client with anxiety has asked the nurse about discontinuing the use of a benzodiazepine. What is the best response from the nurse?