A client with panic disorder who has been prescribed sertraline in conjunction with alprazolam comes to the clinic for a follow-up. The client states, "I stopped taking the alprazolam about 2 days ago. I was feeling really sleepy and tired."
Which of the following would alert the nurse to suspect possible withdrawal? Select all that apply.
A) Apprehension
B) Irritability
C) Dry, flushed skin
D) Weight gain
E) Muscle flaccidity
Ans: A, B
Symptoms associated with withdrawal of benzodiazepine therapy are more likely to occur after high doses and long-term therapy, but they can also occur after short-term therapy. Withdrawal symptoms manifest in several ways, including psychological (apprehension, irritability, agitation).
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The nurse, while talking with a client, notices that the client appears ill at ease and is not forthcoming with information but smiles and nods, verbally agreeing with everything the nurse says. How does the nurse interpret this assessment?
1. The client understands and agrees with what the nurse is saying. 2. The client doesn't speak English and doesn't understand what the nurse is saying. 3. The client's nonverbal language negates the verbal agreement. 4. The client is not interested in what the nurse is saying.
A client experiencing trauma begins to show early signs of hypovolemic shock. Before notifying the medical team, what should the nurse do first?
1. Raise the head of the bed. 2. Turn the client to Sims' position. 3. Establish responsiveness. 4. Place the client on 12-15 L/minute of oxygen.
The nurse working with the child diagnosed with type 2 diabetes mellitus recognizes that most often the disorder can be managed by:
What will be an ideal response?
When taking the history of a child hospitalized with Reye's syndrome, the nurse should not be surprised that a week ago the child had recovered from:
a. Measles. c. Meningitis. b. Varicella. d. Hepatitis.