2. It is important for the nurse to monitor for serotonin syndrome, which occurs when a client takes multiple medications that affect serotonin levels. Symptomsinclude change in mental status, restlessness, myoclonus, hyperreflexia, tachycardia, labile blood pressure, diaphoresis, shivering, and tremor. Show TEST-TAKING HINT: To answer this question correctly, the test taker must be familiar with the signs and symptoms of serotonin syndrome and which psychotropic medications affect serotonin, potentially leading to this syndrome. 1. When a client is newly admitted, it is important for the nurse to assess past coping mechanisms and their effects on anxiety. Assessment is the first step in the nursing process, and this information needs to be gathered to intervene effectively.2. Allowing time for the client to complete compulsions is important for a client who is newly admitted. If compulsions are limited, anxiety levels increase. If the client had been hospitalized for a while, then, with the client's input, limits would be set on the compulsive behaviors.5. It is important for the nurse to allow the client to express his or her feelings about the obsessions and compulsions. This assessment of feelings should begin at admission. TEST-TAKING HINT: It is important for the test taker to note the words "newly admitted" in the question. The nursing interventions implemented vary and are based on length of stay on the unit, along with client's insight into his or her disorder. For clients with obsessive-compulsive disorder, it is important to understand that the compulsions are used to decrease anxiety. If the compulsions are limited, anxiety increases. Also, the test taker must remember that during treatment it is imperative that the treatment team includes the client in decisions related to any limitation of compulsive behaviors. -Alcohol. Because they are also central nervous system (CNS) depressants, the nurse instructs the patient to avoid alcohol, opioids, antihistamines, and muscle relaxants; when taken together with alprazolam, they can cause significant CNS depression, including respiratory depression. Tobacco use is likely to be harmful, but it is unlikely to intensify the adverse effects of a benzodiazepine. Caffeine, a xanthine stimulant, is likely to ameliorate CNS depression associated with benzodiazepines. Recommended textbook solutions
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external Herbal preparations: clinical manifestations: Narrowing of perceptual field, attention span • Reduced alertness, awareness • Discomfort, irritability • Self-absorption • Increased restlessness • Increased respirations, heart rate, muscle tension • Increased perspiration • Speech: rapid, louder, higher. Clinical therapies: Cognitive and behavior therapy to identify triggers and learn improved coping techniques • Relaxation techniques • Complementary and alternative therapies, such as yoga, acupuncture, massage • Low-dose antianxiety medications if symptoms do not improve with other therapies or if medications exacerbate chronic conditions clinical manifestations: Inability to focus • Perception distorted • Terror • Feelings of doom • Bizarre behavior • Dilated pupils • Trembling, sleeplessness, palpitations, pallor, diaphoresis, muscular incoordination • Immobility or hyperactivity clinical therapies: Immediate, structured intervention required. Immediate therapies include: o Placing client in a quiet, less stimulating environment o Use of repetitive or physical task to diffuse energy o Administration of antianxiety medications • Long-term therapies include: o Cognitive-behavioral therapy, pharmacologic therapy, relaxation techniques, improved sleep hygiene, complementary and alternative therapies such as massage, acupuncture, and yoga, hydrotherapy, nutrition consultation, mental health counseling B. Which medications is used to treat anxiety disorder select all that apply?Prescription Medications. Escitalopram.. Paroxetine.. Sertraline.. Citalopram.. Fluvoxamine.. Fluoxetine.. Which type of drugs are used to treat anxiety disorders?The most common anti-anxiety medications are called benzodiazepines. Benzodiazepines are a group of medications that can help reduce anxiety and make it easier to sleep.
Which of the following medication can be used to treat clients with anxiety disorders?Buspirone (BuSpar), an anti-anxiety drug, is used in the treatment of general anxiety disorder. Benzodiazepines are used to treat general anxiety disorder, social anxiety disorder, and panic disorder. First-generation antihistamines, such as diphenhydramine, can be used to treat general anxiety disorder.
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