A client is taking chlordiazepoxide (Librium) for generalized anxiety disorder symptoms. In which situation should a nurse recognize that this client is at greatest risk for drug overdose?

Correct Answer: B

Rationale: The correct answer is B, when the client combines the drug with alcohol. Chlordiazepoxide is a benzodiazepine used to treat anxiety disorders by enhancing the effects of GABA in the brain. Combining it with alcohol can potentiate the sedative effects, leading to respiratory depression, coma, or even death. Alcohol and benzodiazepines both depress the central nervous system, increasing the risk of overdose. Choices A, C, and D do not directly increase the risk of drug overdose with chlordiazepoxide. A knowledge deficit may impact adherence but doesn't directly lead to overdose. Taking the drug on an empty stomach or failing to follow dietary restrictions may alter absorption or metabolism but won't significantly increase overdose risk.

Correct Answer: A

Rationale: The correct answer is A because phenelzine (Nardil) is a monoamine oxidase inhibitor (MAOI) which requires regular blood work monitoring to assess for potential side effects like hypertensive crisis. This is crucial for client safety and treatment efficacy. Choice B is incorrect as mood and affect score alone does not directly relate to medication therapy initiation. Choice C is not directly related to the need for regular blood work monitoring. Choice D is also incorrect as support network availability is important but not a priority before initiating medication therapy with phenelzine.

Correct Answer: A

Rationale: Desmond Manderson argues that the portrayal of drugs as having almost demonic powers is prevalent not only in cultural representations of illicit drugs but also in drug legislation. This is because drug laws often criminalize drug use, perpetuating the idea of drugs as inherently evil. Hippie communes focus more on drug use as a means of spiritual exploration rather than demonizing drugs. Kantian philosophy emphasizes rationality and autonomy, not drug portrayal. Catholic theology may view drug use as a sin, but does not necessarily attribute demonic powers to drugs.

Correct Answer: B

Rationale: Step-by-step rationale for answer B: 1. Clozapine can cause agranulocytosis, a serious side effect characterized by a low white blood cell count. 2. The patient's symptoms of sore throat, fever, and tiredness may indicate a potential infection or agranulocytosis. 3. Blood work is necessary to monitor the patient's white blood cell count to rule out agranulocytosis. 4. Keeping the appointment and arranging for blood work allows for timely assessment and appropriate management. Summary of other choices: A: Incorrect. Advising the patient to drink juices and water and rest without further assessment may delay necessary medical intervention. C: Incorrect. Merely acknowledging flu season without taking proactive steps to assess the patient's condition is inadequate. D: Incorrect. Jumping to conclusions about the seriousness of the symptoms without proper evaluation through blood work is premature and may cause unnecessary alarm.

Correct Answer: A

Rationale: The correct answer is A: depression. Hypothyroidism and Parkinson's disease can both lead to symptoms of depression due to their impact on neurotransmitters and hormones. Hypothyroidism can cause fatigue, weight gain, and mood changes, while Parkinson's disease can lead to decreased dopamine levels, affecting mood. Bipolar disorder (B) is not directly associated with these conditions. Schizophrenia (C) is a separate mental health disorder with different symptoms. Posttraumatic stress disorder (D) is more related to experiencing a traumatic event, not specifically linked to hypothyroidism or Parkinson's disease.