An ICU nurse diagnosed with acute anxiety is scheduled to take the CCRN exam for the second time in 2 weeks after being unsuccessful the first time. The nurse knows that which medication may be prescribed to help him with his anxiety?
1. Buspirone (Buspar)
2. Citalopram (Celexa)
3. Alprazolam (Xanax)
4. Propranolol (Inderal)
Answer: 4
Explanation: The nurse is experiencing Peplau's moderate level of anxiety or situational anxiety. Benzodiazepines such as alprazolam (Xanax) are effective for anxiety at low doses and insomnia at higher doses. SSRIs such as citalopram (Celexa) take at least 2-4 weeks to become fully effective. Buspirone, a nonbenzodiazepine anxiolytic, can take up to 4 weeks to achieve effect. The beta-blocker propranolol (Inderal) can prevent physical symptoms of anxiety and may be prescribed to control symptoms of performance anxiety only.
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An older patient tells a nurse. "The nurse practitioner told me that these ugly purple bruises on my arms are called purpura and are due to fragile blood vessels. I still don't understand why this happens to me."
The nurse responds based on the knowledge that: (Select all that apply.) a. purpura is due to normal age-related changes. b. the incidence of purpura increases with age. c. purpura is a precancerous skin condition. d. individuals who take blood thinners are especially prone to purpura. e. individuals prone to purpura should make sure that affected areas are open to the air.
After teaching a school-age child how to apply a gauze wrap to a lower extremity, which observation indicates that teaching has been successful?
A) The child shows an eagerness to learn more things. B) The child returns an adequate demonstration of wrapping the limb. C) The child consistently wraps the lower extremity as instructed each time. D) The child explains the importance of wrapping the lower extremity with gauze.
Many experts believe that adolescents should not make significant autonomous decisions prior to the ages of:
a. 14 to15 b. 17 to18 c. 12 to13 d. 19 to 20
A client begins antidepressant therapy and asks a nurse whether she can continue taking St. John's wort. Which is the most appropriate nursing response?
A) "You shouldn't use these medications at the same time because they interact with one another." B) "Your doctor can tell you if you can use it while taking antidepressants." C) "Because it's an over-the-counter product, there shouldn't be any adverse reactions." D) "St. John's wort has not been shown to be effective in the treatment of depression, so taking it is unnecessary."