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LATEST UPDATE 2026
A charge nurse is planning a staff education session to discuss medications used
during the care of a client experiencing alcohol withdrawal. Which of the
following medications should the charge nurse include in the discussion?
(Select all that apply.)
A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate - ANSWER-A. Lorazepam is a benzodiazepine used during
alcohol withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol withdrawal to decrease
anxiety and reduce the risk for seizure
A nurse is providing teaching to a client who has a new prescription for
clonidine to assist with maintenance of abstinence from opioids. The nurse
should instruct the client to monitor for which of the following adverse effects?
A. Diarrhea
B. Dry mouth
C. Insomnia
,D. hypertension - ANSWER-B. Dry mouth is a common adverse effect
associated with clonidine use
A nurse is teaching a female client who has tobacco use disorder about nicotine
eplacement therapy. Which of the following statements by the client indicates
understanding of the teaching?
A."I should avoid eating right before I chew a piece of nicotine gum."
B."I will need to stop using the nicotine gum after 1 year."
C."I know that nicotine gum is a safe alternative to smoking if I become
pregnant."
D."I must chew the nicotine gum quickly for about 15 minutes. - ANSWER-A.
The client should avoid eating or drinking 15 min prior to and while chewing
the nicotine gum.
A nurse in an acute mental health facility is caring for a client who is
experiencing withdrawal from opioid use and has a new prescription for
clonidine. Which of the following actions should the nurse identify as the
priority?
A. Administer the clonidine on the prescribed schedule.
B. Provide ice chips at the client's bedside.
C. Educate the client on the effects of clonidine.
D. Obtain baseline vital signs - ANSWER-D. Assessment is the initial step of
the nursing process. Obtaining the client's baseline vital signs is the priority
nursing action
,A nurse in the post-anesthesia recovery unit is caring for a client who received a
nondepolarizing neuromuscular blocking agent and has muscle weakness. The
nurse should anticipate a prescription for which of the following medications?
A. Neostigmine
B. Naloxone
C. Dantrolene
D. Vecuronium - ANSWER-A. Neostigmine is a cholinesterase inhibitor used
to reverse the effects of nondepolarizing neuromuscular blockers
A nurse working in an emergency department is caring for a client who has
benzodiazepine toxicity due to an overdose. Which of the following actions is
the nurse's priority?
A.Administer flumazenil.
B.Identify the client's level of orientation.
C.Infuse IV fluids.
D.Prepare the client for gastric lavage - ANSWER-B. The first action the nurse
should take when using the nursing process is to assess the client. Identifying
the client's level of orientation is the priority action.
A nurse is teaching a client who has a new prescription for escitalopram for
treatment of generalized anxiety disorder. Which of the following statements by
the client indicates understanding of the teaching?
A."I should take the medication on an empty stomach."
B."I will follow a low-sodium diet while taking this medication."
C."I need to discontinue this medication slowly."
D."I should not crush this medication before swallowing." - ANSWER-C. When
discontinuing escitalopram, the client should taper the medication slowly
according to a prescribed tapered dosing schedule to reduce the risk of
withdrawal syndrome.
, A nurse is providing teaching to a client who has a new prescription for
buspirone to treat anxiety. Which of the following information should the nurse
include?
A."Take this medication on an empty stomach"
B."Expect optimal therapeutic effects within 24 hr."
C."Take this medication when needed for anxiety"
D."This medication has a low risk for dependency." - ANSWER-D. Buspirone
has a low risk for physical or psychological dependence or tolerance.
A nurse is teaching a client who has obsessive-compulsive disorder and has a
new prescription for paroxetine. Which of the following instructions should the
nurse include?
A."It can take several weeks before you feel like the medication is helping."
B."Take the medication just before bedtime to promote sleep."
C."You should take the medication when needed for obsessive urges."
D."monitor for weight gain while taking this medication." - ANSWER-A.
Paroxetine can take 1 to 4 weeks before the client reaches full therapeutic
benefit.
A nurse is caring for a client who takes paroxetine to treat posttraumatic stress
disorder and reports that he grinds his teeth during the night. The nurse should
identify which of the following interventions to manage bruxism? (Select all
that apply.)
A.Concurrent administration of buspirone
B.Administration of a different SSRI
C.Use of a mouth guard
D.Changing to a different class of antidepressant medication