Xanax and Stress

  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
    •  
  2. 20 Comments

  3. by   BSNbeDONE
    I agree with C. Key word is 'routine'. I would need a Xanax drip if that was the case.
  4. by   morte
    Yes, C, because the rest are wrong...
  5. by   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.
  6. by   SirMiggy
    i would answer b
  7. by   cassie77775
    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.
  8. by   souleater11
    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
  9. by   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
  10. by   itsnowornever
    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!
  11. by   itsnowornever
    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!
  12. by   Esme12
    Quote from itsnowornever
    Why the rationale for D5W?

    Posting from my phone, ease forgive my fat thumbs!
    Nipride can only be in D5W so to prevent precipitate in the line you would hang D5W and run it at a TKVO rate to the rate the Nipride was infunsing which ever is the lowest infusion rate.

    However...if the patient is hypotensive any remaining drug should not be infused and the tubing changed to the site to prevent further decreased B/P.

    The answer is D.....you began the Nipride for the B/P with the intent to lower it. B/P 120/90 is lower but not abnormally low....in fact the diastolic is still high

    Your goal was achieved......Monitor patient.

    Nitroprusside (Nipride ) -* Intravenous (IV) Dilution
  13. by   itsnowornever
    Quote from Esme12
    Nipride can only be in D5W so to prevent precipitate in the line you would hang D5W and run it at a TKVO rate to the rate the Nipride was infunsing which ever is the lowest infusion rate.

    However...if the patient is hypotensive any remaining drug should not be infused and the tubing changed to the site to prevent further decreased B/P.

    The answer is D.....you began the Nipride for the B/P with the intent to lower it. B/P 120/90 is lower but not abnormally low....in fact the diastolic is still high

    Your goal was achieved......Monitor patient.

    Nitroprusside (Nipride ) - Intravenous (IV) Dilution
    Thank you! Did not know it was to be hung with D5W! Thank you!

    Posting from my phone, ease forgive my fat thumbs!
  14. by   mimiluvs
    C is d answer
    My rational is.........
    A. U can not double a does of meds without Dr's order
    B. Meds with wine is contraindicated
    C. Routing stress is not anxiety CORRECT
    D. The drug is antianxiety meds panic attack is a stage of anxiety

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