This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is preparing a patient to change from taking lorazepam (Ativan) for anxiety to buspirone ... (Read 120 times)

Beheh

  • Hero Member
  • *****
  • Posts: 520
on: Jul 23, 2018
A nurse is preparing a patient to change from taking lorazepam (Ativan) for anxiety to buspirone (Buspar). Which statement by the patient indicates a need for further teaching?
 
  a. I can drink alcohol when taking Buspar, but not grapefruit juice.
  b. I may need to use a sedative medication if I experience insomnia.
  c. I may not feel the effects of Buspar for a few weeks.
  d. I should stop taking the Ativan when I start taking the Buspar.

Question 2

A patient with a new-onset seizure disorder receives a prescription for phenobarbital. The patient reports being concerned about the sedative side effects of this drug. Which response by the nurse is correct?
 
  a. Phenobarbital doses for seizures are nonsedating.
  b. This is a short-acting barbiturate, so sedation wears off quickly.
  c. Tolerance to the sedative effects will develop in a few weeks.
  d. You may actually experience paradoxical effects of euphoria.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

allisonblackmore

  • Sr. Member
  • ****
  • Posts: 330
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Ativan should not be withdrawn quickly; it needs to be tapered to prevent withdrawal symptoms. Moreover, Buspar does not have immediate effects. Because no cross-dependence occurs with these two medications, they may be taken together while the benzodiazepine is tapered. Because Buspar does not have sedative effects, patients can consume alcohol without increasing sedation. Levels of Buspar can be increased by grapefruit juice, leading to drowsiness and a feeling of dysphoria. Buspar can cause nervousness and excitement and does not have sedative effects, so patients with insomnia must use a sedative. Buspar does not have immediate effects.

Answer to Question 2

ANS: A
Phenobarbital and mephobarbital are used for seizure disorders and suppress seizures at doses that are nonsedative. Phenobarbital is a long-acting barbiturate. At therapeutic doses, sedative effects do not occur. Paradoxical drug effects are associated with benzodiazepines and in older adults and debilitated patients with barbiturates.


Beheh

  • Member
  • Posts: 520
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

T4T

  • Member
  • Posts: 348
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As
Preparing Slides Preparing Slides
Nursing Interventions for Different Levels of Anxiety Nursing Interventions for Different Levels of Anxiety
Medications and Medical Conditions Associated with Anxiety Medications and Medical Conditions Associated with Anxiety
Risk assessment codes for an HIV-infected patient. Risk assessment codes for an HIV-infected patient.
Neutral Technological Change Neutral Technological Change
Video: Introduction to Pre-eclampsia

For a complete list of videos, visit our video library