Author Question: A patient is diagnosed with anxiety after describing symptoms of tension, poor concentration, and ... (Read 14 times)

CORALGRILL2014 · **on:** Jul 23, 2018

A patient is diagnosed with anxiety after describing symptoms of tension, poor concentration, and difficulty sleeping that have persisted for over 6 months. Which medication will the nurse expect the provider to order for this patient?

a. Alprazolam Xanax
b. Amitriptyline Elavil
c. Buspirone Buspar
d. Paroxetine Paxil

Question 2

A patient receives morphine and shows signs of toxicity. The prescriber orders naloxone Narcan to reverse the effects of the morphine. The nurse understands that the naloxone reverses morphine toxicity by which action on morphine receptor sites?

a. Blocking transmitter reuptake
b. Inhibiting transmitter release
c. Interfering with transmitter storage
d. Preventing activation of receptors

leahchrapun · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
This patient has symptoms of generalized anxiety disorder (GAD) that are not acute or severe. Buspirone is as effective as benzodiazepines but without causing CNS depression or having the same abuse potential. Symptoms develop slowly, which is acceptable in this case, since symptoms are not acute or severe. Alprazolam is a benzodiazepine and would be used in the short term to treat acute, severe anxiety. Amitriptyline is a TCA used to treat panic disorder. Paroxetine is an antidepressant used as a second-line drug for GAD.

Answer to Question 2

D
Morphine and its antagonist, naloxone, act directly at the same receptors. Morphine causes acti-vation, and naloxone prevents activation. Neither morphine nor naloxone acts to alter transmitter reuptake, release, or storage.