1.1. The psychiatrist prescribes alprazolam (Xanax), a benzodiazepine,
for acute anxiety experienced by a client with agoraphobia. Health
teaching should include instructions about:
A. A tyramine- free diet.
B. Adjusting dose and frequency of ingestion based on level of anxiety.
C. Avoiding alcoholic beverages.
D. Reporting dry mouth.: C. Avoiding alcoholic beverages.
Rationale: When prescribing alprazolam (Xanax), a benzodiazepine, for
acute anxi- ety in a client with agoraphobia, it is important to instruct
the client to avoid alcoholic beverages. Benzodiazepines like alprazolam
can enhance the sedative effects of alcohol, leading to increased
drowsiness, dizziness, and impaired coordination.
Combining benzodiazepines with alcohol can also result in severe centra
,nervous system depression, respiratory depression, and even overdose.
Therefore, it is essential to educate the client about the potential
dangers of consuming alcohol while taking alprazolam.
2.2. How often and what dosage is alprazolam (Xanax) given to clients?
A. 0.25-1.0 mg. b.i.d.
B. 0.25-0.5 mg. t.i.d.
C. 0.5-1.0 mg. t.i.d.
D. 0.5-1.0 mg. q.i.d.: B: 0.25-0.5 mg t.i.d.
The rationale for this dosage is as follows:
Individualized treatment: The dosage of alprazolam can vary depending
on factors such as the severity of the anxiety disorder, the patient's
response to the medication, and their medical history. It is essential for
healthcare providers to tailor the dosage to the specific needs of each
patient.
Gradual titration: Starting with a lower dosage, such as 0.25-0.5 mg,
,allows for a cautious approach to treatment. It helps to minimize the risk
of side effects and allows the healthcare provider to assess the patient's
response before potentially adjusting the dosage.
Therapeutic effect: Alprazolam is a benzodiazepine medication that
acts as an anxiolytic and can provide relief from anxiety symptoms.
The dosage range of 0.25-0.5 mg has been found effective for many
individuals in managing anxiety disorders, providing the desired
therapeutic effect.
3.3. The psychiatric technician is to give Haldol Decanoate 300 mg IM to a
client. The label on the ampule reads Haldol Decanoate 100mg/ml. The
hospital policy states that no more than 2 ml can be given to a client in one
site. The
, psychiatric technician will give:
A. 2 ml. in one site and 2 ml in another site.
B. 1 ml. in one site and then one hour later give 2 ml. in the same site.
C.1 1/2 ml. in one site and 1 1/2 ml in another site.
A.1 1/2 ml. in one site.: C. 1 1/2 ml. in one site and 1 1/2 ml. in another
site.
Rationale: The label on the ampule indicates that Haldol Decanoate has
a concen- tration of 100 mg/ml. The prescribed dose is 300 mg. Since
the hospital policy states that no more than 2 ml can be given at one
site, the psychiatric technician will need to split the dose between two
injection sites. Each site can receive a maximum of 2 ml, so the
technician will administer 1 1/2 ml (150 mg) in one site and another 1
1/2 ml (150 mg) in another site to achieve the total prescribed dose of
300 mg.
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