An older adult patient who has been taking alprazolam (Xanax) calls the clinic asking for a refill of the prescription 1 month before the alprazolam should need to be refilled. Which response by the nurse is best?
a. "The prescription cannot be refilled for another month. What happened to all of your pills?"
b. "Do you have any muscle cramps and tremors if you don't take the medication frequently?"
c. "I am concerned that you may be overusing the Xanax. Let's make an appointment for you to see the doctor."
d. "I will ask the doctor to prescribe a few more pills, but you will not be able to get any more for another month."
ANS: C
The patient should be assessed for problems that are causing overuse of alprazolam , such as anxiety or memory loss. The other responses by the nurse will not allow for the needed assessment and possible referral for support services or treatment of drug dependence.
You might also like to view...
A patient has a decreased calcium level. Which of the following will participate in raising the patient's calcium level?
A) Vitamin D B) Vitamin C C) Ferrous sulfate D) Vitamin B12
A clinic nurse is working with an older client. What assessment is most important for preventing infections in this client?
a. Assessing vaccination records for booster shot needs b. Encouraging the client to eat a nutritious diet c. Instructing the client to wash minor wounds carefully d. Teaching hand hygiene to prevent the spread of microbes
Which walking program would be the most effective for the nurse to recommend as part of a progressive walking program for an obese patient with COPD?
a. 10 to 15 minutes a day b. 20 to 30 minutes a day c. 45 to 60 minutes a day d. Up to 2 hours a day
The patient is admitted with complaints of general malaise and fatigue, along with a decreased urinary output. The patient's urinalysis shows coarse, muddy brown granular casts and hematuria. The nurse determines that the patient has:
a. acute kidney injury from a prerenal condition. b. acute kidney injury from postrenal obstruction. c. intrarenal disease, probably acute tubular necrosis. d. a urinary tract infection.