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."
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Ativan should not be withdrawn quickly; it needs to be tapered to prevent withdrawal symptoms.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.
You might also like to view...
A patient has been diagnosed with fungal otitis externa (otomycosis). The nurse correctly explains that the first course of treatment the patient should expect is
a. antibiotic ear drops. b. intravenous (IV) antifungal agents. c. acidifying drops for 1 week. d. oral antibiotics.
Which of the following would be appropriate to help ensure a nurse's safety?
A. Before leaving your car, check the immediate surroundings for anyone or any situation that makes you uncomfortable. B. Intervene immediately with a family whose fighting is starting to become physical before it escalates further. C. Visit the family over the weekend when no one is expecting an outsider to drop by. D. When approached on the street by an unknown person, stop and tell them how to reach the agency to be formally accepted as a client.
Mrs. Silver is currently taking Lasix, 40 mg bid; digoxin, 125 mg qd; and Inderal, 20 mg qd. Which of the following laboratory values would be of concern to you?
a. Digoxin level 1.0 ng/mL b. Potassium level 2.5 mEq/L c. Potassium level 4.0 mEq/L d. Sodium level 140 mEq/L
A disadvantage of the community forum needs assessment tool is
a. It is expensive to implement b. It becomes an arena to discuss political issues c. The data gathered may be obsolete d. It is technically demanding