Which of the following clients is most likely to be at risk for drug dependence and difficulties with withdrawal?
A) A client who has recently begun treatment with propranolol (Inderal) for the treatment of social phobia
B) A woman who has been taking lorazepam (Ativan) for several months after witnessing a traumatic motor vehicle accident
C) A man whose obsessive–compulsive disorder (OCD) is being treated long term with paroxetine (Paxil)
D) A client with generalized anxiety disorder who has responded well since beginning treatment with fluoxetine (Prozac) earlier in the year
Ans: B
The potential for dependence and difficulties with withdrawal is much higher with benzodiazepines than with beta-blockers or SSRIs.
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An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse
a. asks the patient's spouse to consistently administer the drugs. b. checks the drug guide to see if decreasing the frequency if the drugs is possible. c. informs the patient's physician about the drug noncompliance. d. teaches the patient to administer daily pills with a pill dispenser.
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the past 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months
These symptoms are most likely related to: 1. endometriosis. 2. PMS. 3. primary dysmenorrhea. 4. secondary dysmenorrhea.
A nurse is providing administration instruction to the wife of a client going home on intermittent enteral nutrition. Which information should the nurse include?
1. "Clean the equipment between each feeding administration." 2. "Once mixed, enteral feeding should hang no more than 8 hours." 3. "Refrigerate any feeding that is not needed for a feeding." 4. "You may use plain tap water for scheduled tubing flushes." 5. "Check placement of the feeding tube before starting the feeding."
A nursing student is reviewing a client's chart for information for a nursing process assignment that must be completed
The nursing student is reviewing components of the nursing history portion of the nursing process assignment with information that has to be obtained from the client's chart. Based on this information, what would be included in the biographical data? A) Symptoms of recent disease B) Sexual relationships C) Name, age, birth date D) Family history of disease