The nurse works with a physician who frequently prescribes benzodiazepines. The use of benzodiazepines in which patient would cause the nurse the most concern?
1. An 87-year-old patient who uses a cane for ambulation
2. A 9-year-old child with panic attacks
3. A 42-year-old businessman who travels internationally
4. A 32-year-old mother of two preschool children
1
Rationale 1: Benzodiazepines should be used with caution in older adults due to their adverse effects of drowsiness and sedation. This puts older adults at risk of falls.
Rationale 2: Benzodiazepines must be used with caution in children, but these patients are not at as high risk as older adults.
Rationale 3: There is minimal concern with benzodiazepine use in a 42-year-old patient.
Rationale 4: There is minimal concern with benzodiazepine use in a 32-year-old patient.
Global Rationale: Benzodiazepines should be used with caution in older adults due to their adverse effects of drowsiness and sedation. This puts older adults at risk for falls. There have been few studies of benzodiazepine use in the pediatric population; benzodiazepines must be used with caution, but these patients are not at as high risk as the elderly population. There is minimal concern with benzodiazepine use in a 32-year-old patient. There is minimal concern with benzodiazepine use in a 42-year-old patient.
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Based on these symptoms, the nurse anticipates this client will be diagnosed with which type of seizure? 1. Febrile seizures 2. Generalized seizures 3. Myoclonic seizures 4. Atonic seizures