Which medication orders should a nurse anticipate for a client who has a history of complicated withdrawal from benzodiazepines?
A. Haloperidol (Haldol) and fluoxetine (Prozac)
B. Carbamazepine (Tegretol) and donepezil (Aricept)
C. Disulfiram (Antabuse) and lorazepam (Ativan)
D. Chlordiazepoxide (Librium) and phenytoin (Dilantin)
ANS: D
The nurse should anticipate that a physician would order chlordiazepoxide (Librium) and phenytoin (Dilantin) for a client who has a history of complicated withdrawal from benzodiazepines. It is common for long-lasting benzodiazepines to be prescribed for substitution therapy. Phenytoin (Dilantin) is an anticonvulsant that would be indicated for a client who has experienced a complicated withdrawal. Complicated withdrawals may progress to seizure activity.
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