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 118 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
:D TYSM

steff9894

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

The term bacteria was devised in the 19th century by German biologist Ferdinand Cohn. He based it on the Greek word "bakterion" meaning a small rod or staff. Cohn is considered to be the father of modern bacteriology.

Did you know?

The ratio of hydrogen atoms to oxygen in water (H2O) is 2:1.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
Patient's forearm supported in bed Patient's forearm supported in bed
Preoperative and Postoperative Patient Instructions Preoperative and Postoperative Patient Instructions
Oral pseudo membraneous candidiasis in a patient with AIDS. Oral pseudo membraneous candidiasis in a patient with AIDS.
Generalized biogeochemical cycle Generalized biogeochemical cycle
Video: Oogenesis Animation

For a complete list of videos, visit our video library