The nurse planning health teaching for a client with generalized anxiety disorder who is taking
lorazepam (Ativan) should include information about the need for (more than one answer may be
correct)
A. a tyramine-free diet.
B. caffeine restriction.
C. use of care with machinery.
D. avoidance of alcohol and other sedatives.
ANS:
B, C, D
Rationale: Caffeine is a central nervous system stimulant that acts as an antagonist to the
benzodiazepine lorazepam. Daily caffeine intake should be reduced to the amount contained in one
cup of coffee. Benzodiazepines are sedatives, thus the importance of exercising caution when
driving or using machinery and the importance of not using other central nervous system depressants
such as alcohol or sedatives to avoid potentiation. Option A: Benzodiazepines do not require a
special diet.
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A 70-year-old male with diabetic peripheral neuropathy reports a burning sensation in his feet. He also states, "Those pain pills make me feel funny and they don't help my pain, so I don't take them
" Which of the following is likely to be most beneficial for treating this patient's neuropathic pain? a. Opioid analgesic (morphine) b. NSAID (ibuprofen) c. Antiepileptic drug (gabapentin) d. Narcotic analgesic with acetaminophen (hydrocodone)
When caring for a client with Raynaud disease, what should the nurse instruct this client?
1. Engage in high activity and stressful situations to promote circulation. 2. Drink red wine because it is a vasodilator and would be helpful. 3. Wear gloves and warm socks during cold weather. 4. Restrict your fluid intake to less than 1,500 mL of liquids daily.
Ménière's 'disease presents with the following triad of symptoms:
A. Vertigo, nystagmus, hearing loss B. Vertigo, tinnitus, hearing loss C. Vertigo, syncope, hearing loss D. None of the above
Which of the following workplace scenarios empowers employees?
a. There are many rules inherent in the job. b. There is little publicity about job activities. c. There is a high level of contact with senior officials. d. There is little opportunity for advancement of subordinates.