The client has been taking clonazepam (Klonopin) for chronic ...

[mpobi80]

The client has been taking clonazepam (Klonopin) for chronic anxiety for three years. The client tells the nurse he wants to stop the medication. What is the best response by the nurse?
 
  1. You will need to gradually decrease your dose before stopping.
  2. I don't think it is a good idea to stop your medication.
  3. There are not any serious complications to stopping this drug.
  4. Medications for anxiety must be taken for the rest of your life.

Question 2

The client receives temazepam (Restoril) at bedtime for sleep. The client tells the nurse that he also has a glass of wine before bed to help him sleep. What is the nurse's best response?
 
  1. One glass of wine is okay, but be sure not to have more than that.
  2. Combining wine with your medication will decrease the effectiveness of your medication.
  3. This is okay as long as you have a high-fat meal with your wine.
  4. Combining wine with your medication can sedate you and cause breathing problems.

[tdewitt]

Answer to Question 1

Correct Answer: 1

Rationale 1: Clonazepam (Klonopin) is a CNS depressant drug. Abrupt cessation can result in serious withdrawal symptoms. Clients must be gradually decreased in their dose before stopping the drug.
Rationale 2: I don't think it is a good idea to stop your medication is incorrect because it is the patient's decision to stop medications, and it is inappropriate for the nurse to give advice before doing an assessment.
Rationale 3: There are not any serious complications to stopping this drug is incorrect because abrupt cessation can result in serious withdrawal symptoms.
Rationale 4: Medications for anxiety must be taken for the rest of your life is incorrect because anti-anxiety medications are indicated for short-term relief of anxiety while the client focuses on problem-solving techniques, so medications need not be taken for the rest of a client's life.

Global Rationale: Clonazepam (Klonopin) is a CNS depressant drug. Abrupt cessation can result in serious withdrawal symptoms. Clients must be gradually decreased in their dose before stopping the drug. I don't think it is a good idea to stop your medication is incorrect because it is the patient's decision to stop medications, and it is inappropriate for the nurse to give advice before doing an assessment. There are not any serious complications to stopping this drug is incorrect because abrupt cessation can result in serious withdrawal symptoms. Medications for anxiety must be taken for the rest of your life is incorrect because anti-anxiety medications are indicated for short-term relief of anxiety while the client focuses on problem-solving techniques, so medications need not be taken for the rest of a client's life.

Answer to Question 2

Correct Answer: 4

Rationale 1: One glass of wine is okay, but be sure not to have more than that is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 2: Combining wine with your medication will decrease the effectiveness of your medication is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 3: This is okay as long as you have a high-fat meal with your wine is incorrect because consuming a high-fat meal with alcohol will not change the potentiating effects of the alcohol. Alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 4: Alcohol is a CNS depressant, and combining it with benzodiazepines potentiates CNS depression, and can result in respiratory depression. Clients should not consume any alcohol with benzodiazepines.

Global Rationale: Alcohol is a CNS depressant, and combining it with benzodiazepines potentiates CNS depression, and can result in respiratory depression. Clients should not consume any alcohol with benzodiazepines. One glass of wine is okay, but be sure not to have more than that is incorrect because alcohol potentiates, not decreases, the effect of benzodiazepines. Combining wine with your medication will decrease the effectiveness of your medication is incorrect because alcohol potentiates, not decreases, the effect of benzodiazepines. This is okay as long as you have a high-fat meal with your wine is incorrect because consuming a high-fat meal with alcohol will not change the potentiating effects of the alcohol. Alcohol potentiates, not decreases, the effect of benzodiazepines.

[mpobi80]

Thanks

[tdewitt]

Welcome