Xanax and Stress

  1. 1
    hi everyone,
    I saw this NCLEX practice question in the internet and I want to share it since I can't find the official rationale.


    NCLEX-RN: PHARMACOLOGY & NURSING SCIENCES-c1b79e75_ppt2txt

    which statement indicates the client understands discharge teaching about the medication alprazalam (Xanax) ?


    A. I can double my dose when I am more anxious than normal


    B. I can take this medication with a glass of wine


    C. This medication is not for the routine stresses of my life


    D. This medication is not for my panic attacks


    My answer is C but im not sure because Xanax is indicated for anxiety which can relieve a patient's stress.


    I would like to know your answers and explaination.


    Thanks a lot.
    Last edit by NRSKarenRN on Apr 27, '13
    Tinker88 likes this.
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  3. 20 Comments so far...

  4. 0
    I agree with C. Key word is 'routine'. I would need a Xanax drip if that was the case.
  5. 0
    Yes, C, because the rest are wrong...
  6. 0
    Thanks Lyndaaa, I've another Pharma question.
    The nurse is monitoring an IV infusion of sodium nitroprusside (Nipride). Fifteen minutes after the infusion is started, the client’s blood pressure goes from 190/120 mm Hg to 120/90 mm Hg. What is the priority nursing action?


    A. Recheck the BP and call the physician.
    B. Decrease the infusion rate and recheck BP in 5 minutes.
    C. Stop the medication and keep the IV open with D5W.
    D. Assess the client’s tolerance of the current level of BP.


    My answer is A but im not sure if its correct.
  7. 0
    i would answer b
  8. 2
    Quote from souleater11
    Thanks Lyndaaa, I've another Pharma question.
    The nurse is monitoring an IV infusion of sodium nitroprusside (Nipride). Fifteen minutes after the infusion is started, the client’s blood pressure goes from 190/120 mm Hg to 120/90 mm Hg. What is the priority nursing action?


    A. Recheck the BP and call the physician.
    B. Decrease the infusion rate and recheck BP in 5 minutes.
    C. Stop the medication and keep the IV open with D5W.
    D. Assess the client’s tolerance of the current level of BP.


    My answer is A but im not sure if its correct.
    Why are you choosing A? Nipride is a antihypertensive/vasodilator and your expected action is a lowered BP and 120/90 is in the normal range. So I would choose D.
    psu_213 and Esme12 like this.
  9. 2
    hi everyone, just to inform the forum readers that my source reference of the questions on this thread can be found on this website:
    NCLEX-RN: PHARMACOLOGY & NURSING SCIENCES-c1b79e75_ppt2txt

    You can download the ppt file below on that website
    Tinker88 and Esme12 like this.
  10. 0
    I would answer C because of the strength of the medication and its usual prescription is as such...I would say its the MOST correct of all the options
  11. 1
    D. The medication you gave was to lower the BP, and it was lowered. If the or is chrnically high, you want to make sure the pt is tolerating a lower BP, and its just wise to check med tolerance anyway. Since its a drip, you would continue to assess to make sure you aren't bottoming them out.

    Posting from my phone, ease forgive my fat thumbs!
    Esme12 likes this.
  12. 0
    Quote from glomachaev
    I would answer C because of the strength of the medication and its usual prescription is as such...I would say its the MOST correct of all the options
    Why the rationale for D5W?

    Posting from my phone, ease forgive my fat thumbs!


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