164. Before administering a prescribed anxiolytic to a client, which of the
following would the nurse include in the physical assessment of the client? Select
all that apply.
A) Blood pressure
B) Blood glucose
C) Pulse
D) Respiratory rate
E) Weight
Answer: A, C,
D, E Response:
The nurse's preadministration physical assessment for the administration of an
anxiolytic should include blood pressure, pulse, respiratory rate, and weight.
165. A nurse suspects that a client is experiencing anxiety. Which physical
assessment findings would support the nurse's suspicion? Select all that apply.
a. Hypotension
b. Decreased respiratory rate
c. Increased muscle tension
d. Pale skin
e. Bradycardia
Page 5
, 166. A nurse is preparing to administer an anxiolytic agent via intramuscular
injection. Which of the following would be most important for the nurse to keep in
mind? Select all that apply.
a. The client should be monitored closely for 3 hours postinjection.
b. Intramuscular injection should be given in chronic states.
c. The client should remain in a lying position for about 30 minutes.
d. The drug should be administered into a large muscle mass.
e. The client should be kept conscious for at least 1 hour after administration.
Answer: A, D Response:
Intramuscular administration of an anxiolytic should be done primarily in an acute state.
The drug should be administered in a large muscle mass, the client should be observed
closely for at least 3 hours, and the client should be kept lying down for 30 minutes to 3
hours after drug administration.
167. A client who is prescribed an anxiolytic tells the nurse that she is constipated.
Which of the following would be most appropriate for the nurse to suggest? Select
all that apply. A) Stop taking the drug.
B) Increase fluid intake.
C) Increase fiber intake.
D) Ask to have the drug given by injection.
E) Take the drug on an empty stomach. Answer: B, C Response:
Clients receiving an anxiolytic should be advised to increase fluid and fiber intake to
address constipation. The drug should not be stopped or changed to an injectable form.
Taking the drug on an empty stomach may lead to GI upset.
168. A nurse is preparing a teaching plan for a client who is prescribed an
anxiolytic. As part of the plan, the nurse addresses medications that should be
avoided to reduce the risk of increased CNS depression and sedation. Which of the
following would the nurse include? Select all that apply.
a. Alcohol
b. Analgesics
c. Digoxin
d. Tricyclic antidepressants
e. Antipsychotics Answer: A, B, D, E Response:
Alcohol, analgesics, tricyclic antidepressants, and antipsychotics should be used with
caution with anxiolytics due to increased CNS depression and increased risk of
sedation.
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following would the nurse include in the physical assessment of the client? Select
all that apply.
A) Blood pressure
B) Blood glucose
C) Pulse
D) Respiratory rate
E) Weight
Answer: A, C,
D, E Response:
The nurse's preadministration physical assessment for the administration of an
anxiolytic should include blood pressure, pulse, respiratory rate, and weight.
165. A nurse suspects that a client is experiencing anxiety. Which physical
assessment findings would support the nurse's suspicion? Select all that apply.
a. Hypotension
b. Decreased respiratory rate
c. Increased muscle tension
d. Pale skin
e. Bradycardia
Page 5
, 166. A nurse is preparing to administer an anxiolytic agent via intramuscular
injection. Which of the following would be most important for the nurse to keep in
mind? Select all that apply.
a. The client should be monitored closely for 3 hours postinjection.
b. Intramuscular injection should be given in chronic states.
c. The client should remain in a lying position for about 30 minutes.
d. The drug should be administered into a large muscle mass.
e. The client should be kept conscious for at least 1 hour after administration.
Answer: A, D Response:
Intramuscular administration of an anxiolytic should be done primarily in an acute state.
The drug should be administered in a large muscle mass, the client should be observed
closely for at least 3 hours, and the client should be kept lying down for 30 minutes to 3
hours after drug administration.
167. A client who is prescribed an anxiolytic tells the nurse that she is constipated.
Which of the following would be most appropriate for the nurse to suggest? Select
all that apply. A) Stop taking the drug.
B) Increase fluid intake.
C) Increase fiber intake.
D) Ask to have the drug given by injection.
E) Take the drug on an empty stomach. Answer: B, C Response:
Clients receiving an anxiolytic should be advised to increase fluid and fiber intake to
address constipation. The drug should not be stopped or changed to an injectable form.
Taking the drug on an empty stomach may lead to GI upset.
168. A nurse is preparing a teaching plan for a client who is prescribed an
anxiolytic. As part of the plan, the nurse addresses medications that should be
avoided to reduce the risk of increased CNS depression and sedation. Which of the
following would the nurse include? Select all that apply.
a. Alcohol
b. Analgesics
c. Digoxin
d. Tricyclic antidepressants
e. Antipsychotics Answer: A, B, D, E Response:
Alcohol, analgesics, tricyclic antidepressants, and antipsychotics should be used with
caution with anxiolytics due to increased CNS depression and increased risk of
sedation.
Page 6
