Author Question: The client has been started on medication therapy with alprazolam (Xanax). When the nurse teaches ... (Read 24 times)

melina_rosy · **on:** Jul 22, 2018

The client has been started on medication therapy with alprazolam (Xanax). When the nurse teaches the client that the medication should not be discontinued abruptly, the client asks why.

The nurse should incorporate which of the following when formulating a reply? 1. The client is likely to suffer irreversible kidney damage.
2. The client is likely to become resistant to medication effects.
3. It will make the medication much less effective if it must be restarted.
4. Rebound central nervous system (CNS) excitation could occur, including seizure activity.

Question 2

The nurse employed in the mental health clinic is interviewing a female client who has had clomipramine hydrochloride (Anafranil) prescribed.

The nurse interprets that the client is noncompliant with taking the medication as prescribed if the client exhibits which of the following behaviors? 1. Tired, fatigued appearance
2. Complaints of hunger and fatigue
3. Slight dizziness when standing up quickly
4. Frequently checking her purse for her keys

gcook · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: Alprazolam (Xanax) is a benzodiazepine used to manage anxiety disorders. The abrupt withdrawal of alprazolam could result in seizure activity from CNS excitation. All clients receiving this medication should be warned of this danger. The other options are incorrect.

Answer to Question 2

4

Rationale: Clomipramine (Anafranil) is commonly used in the treatment of obsessive-compulsive disorder. Frequent checking for keys is a nonproductive repetitive activity that is characteristic of this disorder. Reappearance of symptoms may indicate noncompliance with medication therapy. The incorrect options are common side effects of the medication.