An ICU nurse diagnosed with acute anxiety is scheduled to take ...

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An ICU nurse diagnosed with acute anxiety is scheduled to take the CCRN exam for the second time in 2 weeks after being unsuccessful the first time. The nurse knows that which medication may be prescribed to help him with his anxiety?
 
  1. Buspirone (Buspar)
  2. Citalopram (Celexa)
  3. Alprazolam (Xanax)
  4. Propranolol (Inderal)

Question 2

When taking care of a patient newly diagnosed with panic attacks, the nurse knows that which sign and/or symptom correlates with Peplau's panic level of anxiety?
 
  1. Delusions and withdrawal into self
  2. Restlessness and increased motivation
  3. Feelings of dread and hyperventilation
  4. Increased heart rate and physical discomfort

[izzat]

Answer to Question 1

Answer: 4
Explanation: The nurse is experiencing Peplau's moderate level of anxiety or situational anxiety. Benzodiazepines such as alprazolam (Xanax) are effective for anxiety at low doses and insomnia at higher doses. SSRIs such as citalopram (Celexa) take at least 2-4 weeks to become fully effective. Buspirone, a nonbenzodiazepine anxiolytic, can take up to 4 weeks to achieve effect. The beta-blocker propranolol (Inderal) can prevent physical symptoms of anxiety and may be prescribed to control symptoms of performance anxiety only.

Answer to Question 2

Answer: 1
Explanation: Peplau identified four levels of anxiety: mild, moderate, severe, and panic. The patient experiencing the panic level of anxiety may present with delusions and hallucinations, diaphoresis, dilated pupils, labored breathing, muscular incoordination or purposeless hyperactivity, palpitations, sense of impending doom, sleeplessness, trembling, unusual behaviors, and withdrawal into self.

[Pineapplelove6]

TYSM

[juliaf]

Excellent