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

Author Question: A patient who has been taking alprazolam Xanax to treat generalized anxiety disorder (GAD) reports ... (Read 117 times)

OSWALD

  • Hero Member
  • *****
  • Posts: 580
on: Jul 23, 2018
A patient who has been taking alprazolam Xanax to treat generalized anxiety disorder (GAD) reports recently stopping the medication after symptoms have improved but reports having feel-ings of panic and paranoia.
 
  Which initial action by the nurse is correct? a. Ask the patient if the medication was stopped abruptly.
  b. Instruct the patient to resume taking the alprazolam.
  c. Notify the provider that the patient is ex-periencing a relapse.
  d. Suggest that the patient discuss taking buspirone Buspar with the provider.

Question 2

A nurse is assisting a physician who is preparing to suture a superficial laceration on a patient's leg. The physician asks the nurse to draw up lidocaine with epinephrine. The nurse understands that epinephrine is used with the lidocaine to:
 
  a. allow more systemic absorption to speed up metabolism of the lidocaine.
  b. increase the rate of absorption of the lido-caine.
  c. improve perfusion by increasing blood flow to the area.
  d. prolong anesthetic effects and reduce the risk of systemic toxicity from lidocaine.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jharrington11

  • Sr. Member
  • ****
  • Posts: 365
Reply #1 on: Jul 23, 2018
Answer to Question 1

A
Long-term use of benzodiazepines can cause physical dependence, with symptoms of panic, pa-ranoia, and delirium occurring with abrupt withdrawal. These symptoms can be confused with symptoms of relapse of anxiety, so the nurse should evaluate this by first asking about how the medication was discontinued. If the symptoms are caused by a relapse, the patient should resume taking the alprazolam. Buspirone is not indicated.

Answer to Question 2

D
Epinephrine causes vasoconstriction, which reduces local blood flow and delays systemic ab-sorption of lidocaine, which prolongs local anesthetic effects and reduces the risk of systemic toxicity. Epinephrine slows the rate of absorption. Epinephrine delays systemic absorption of li-docaine, so metabolism is slowed and the effects are prolonged in the periphery. Epinephrine does not increase local blood flow.


OSWALD

  • Member
  • Posts: 580
Reply 2 on: Jul 23, 2018
Wow, this really help

ryansturges

  • Member
  • Posts: 338
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
The medical assistant escorts the patient into the examination room. The medical assistant escorts the patient into the examination room.
Grief Responses and Patient Verbalization Grief Responses and Patient Verbalization
Video: Muscle cell structures - actin, myosin and titin filaments

For a complete list of videos, visit our video library