An older adult patient who has been taking alprazolam (Xanax) ...

[sheilaspns]

An older adult patient who has been taking alprazolam (Xanax) calls the clinic asking for a refill of the prescription 1 month before the alprazolam should need to be refilled. Which response by the nurse is best?
 
  a. The prescription cannot be refilled for another month. What happened to all of your pills?
  b. Do you have any muscle cramps and tremors if you don't take the medication frequently?
  c. I am concerned that you may be overusing the Xanax. Let's make an appointment for you to see the doctor.
  d. I will ask the doctor to prescribe a few more pills, but you will not be able to get any more for another month.

Question 2

During physical assessment of a patient who has frequent nosebleeds, the nurse finds nasal sores and necrosis of the nasal septum. The nurse should ask the patient specifically about the use of which drug?
 
  a. Heroin
  b. Cocaine
  c. Tobacco
  d. Marijuana

[31809pancho]

Answer to Question 1

ANS: C
The patient should be assessed for problems that are causing overuse of alprazolam , such as anxiety or memory loss. The other responses by the nurse will not allow for the needed assessment and possible referral for support services or treatment of drug dependence.

Answer to Question 2

ANS: B
When cocaine is inhaled, it causes ischemia of the nasal septum, leading to nasal sores and necrosis. These symptoms are not associated with the use of heroin, tobacco, or marijuana.