A patient is diagnosed with anxiety after describing symptoms of tension, poor concentration, and difficulty sleeping that have persisted for over 6 months. Which medication will the nurse expect the provider to order for this patient?
a. Alprazolam [Xanax]
b. Amitriptyline [Elavil]
c. Buspirone [Buspar]
d. Paroxetine [Paxil]
C
This patient has symptoms of generalized anxiety disorder (GAD) that are not acute or severe. Buspirone is as effective as benzodiazepines but without causing CNS depression or having the same abuse potential. Symptoms develop slowly, which is acceptable in this case, since symptoms are not acute or severe. Alprazolam is a benzodiazepine and would be used in the short term to treat acute, severe anxiety. Amitriptyline is a TCA used to treat panic disorder. Paroxetine is an antidepressant used as a second-line drug for GAD.
You might also like to view...
A nurse teaches a client who has a flaccid bladder. Which bladder training technique should the nurse teach?
a. Stroking the medial aspect of the thigh b. Valsalva maneuver c. Self-catheterization d. Frequent toileting
When measuring blood pressure, the nurse identifies the systolic blood pressure at the pressure when which of the following occurs?
1. Korotkoff's sounds develop a muffled whooshing quality. 2. The first of at least two tapping sounds are heard in phase 1. 3. The first sound is heard during phase 1. 4. A muffled blowing quality
Nurse B has planned to instruct Mr. C, a newly diagnosed diabetic, in how to test his blood sugar
Nurse B has decided that due to time constraints she will quickly show him how to test his blood sugar, but she will not stay for a return demonstration to see if he can do this himself, due to other duties on the unit. Mr. C appears to be confused and becomes agitated halfway through the session. Which education evaluation area does Nurse B's training session need more work on? a. Process c. Pacing b. Implementation d. Accuracy
The trait approach is concerned with
a. Leadership situations b. Leadership skills c. Follower attributes d. Leader characteristics