What should the nurse teach a client who is recommended antianxiety drugs?

Correct Answer: C

Rationale: In pharmacology, educating clients about their prescribed medications is crucial for their safety and optimal therapeutic outcomes. In the context of antianxiety drugs, teaching clients to use caution when driving (Option C) is essential because these medications can cause drowsiness, dizziness, and impair cognitive function, which can affect their ability to operate vehicles safely. By emphasizing this point, the nurse helps the client avoid potential accidents and ensures compliance with safety regulations. Option A is incorrect because antianxiety drugs are typically prescribed for short-term use due to their potential for dependence and tolerance development. Long-term use can lead to addiction and other adverse effects. Therefore, instructing clients to use these drugs on a long-term basis is not appropriate. Option B is unrelated to antianxiety drugs and does not directly impact their use or side effects. Lifting heavy weights is not contraindicated specifically with these medications. Option D is also incorrect as antianxiety drugs are more likely to cause sedation or drowsiness rather than excessive sleeplessness. Providing inaccurate information about the drug's side effects can lead to misunderstanding and potentially harm the client. Educationally, this question highlights the importance of medication education and safety in nursing practice. Nurses play a key role in patient education, ensuring that clients understand their medications, including potential side effects, precautions, and safe use practices. By teaching clients about the effects of antianxiety drugs on driving, nurses promote responsible medication use and patient safety.

Correct Answer: D

Rationale: In the context of pharmacology and medical-surgical nursing, understanding the assessment data for a suicidal client is crucial for providing appropriate care and intervention. The correct answer, "D) Enhanced digestion," is supported by the fact that individuals who are suicidal may experience increased levels of stress, which can impact their digestive system. Stress hormones can lead to increased digestive activity, which manifests as enhanced digestion in this population. Option A, "Increased alertness," is not typically indicative of a suicidal client. In fact, individuals contemplating suicide may exhibit signs of hopelessness, helplessness, and decreased interest in activities, rather than increased alertness. Option B, "Lower immune response," while stress and mental health conditions can impact the immune system, it is not a specific or common assessment finding related to suicidal ideation. Option C, "Faster metabolism," is not a direct indicator of suicidality. Metabolic changes are not typically used as primary assessment data for identifying suicidal tendencies. Educationally, understanding these assessment data points is vital for nurses and healthcare providers to recognize the subtle signs and symptoms of suicidal ideation in patients. By focusing on relevant indicators like changes in digestion, mood, and behavior, healthcare professionals can intervene early and provide the necessary support and care for individuals at risk of self-harm.

Correct Answer: D

Rationale: In clients administering carbamazepine for bipolar disorder, the most relevant risk is "Risk for infection" (Option D). This is because carbamazepine, an anticonvulsant medication commonly used in bipolar disorder, can suppress the immune system, making patients more susceptible to infections. The drug can lower white blood cell count, especially neutrophils, which are crucial in fighting infections. Therefore, monitoring for signs of infection and educating patients on the importance of infection prevention are vital. Option A, "Risk for injury," is less directly associated with carbamazepine use in bipolar disorder. While some side effects like dizziness or drowsiness may increase the risk of injury indirectly, infection risk is more pertinent. Option B, "Risk for self-directed violence," is a common concern in bipolar disorder due to mood fluctuations, but carbamazepine itself does not directly impact this risk. Option C, "Risk for imbalanced nutrition," is also a common concern in bipolar disorder due to changes in appetite or dietary habits, but it is not specifically linked to carbamazepine use. Understanding the specific risks associated with medications used in mental health conditions is crucial for nurses to provide holistic care to clients. Monitoring for potential side effects and educating patients on how to minimize these risks are essential components of nursing practice in pharmacology.

Correct Answer: D

Rationale: In pharmacology, understanding eating disorders is essential for nurses to provide holistic care. The correct answer is D) Anorexia nervosa, which involves self-starvation leading to dangerously low body weight. This disorder is characterized by extreme fear of gaining weight, distorted body image, and restricted food intake. Option A) Binge-eating disorder involves consuming large amounts of food in a short period, but without compensatory behaviors like purging or excessive exercise. Option B) Bulimarexia is a non-existent term, likely a combination of bulimia and anorexia. Option C) Bulimia nervosa involves episodes of binge eating followed by compensatory behaviors to prevent weight gain, such as vomiting or using laxatives. Educationally, understanding these distinctions is crucial for nurses to recognize symptoms, provide appropriate care, and refer patients to mental health professionals for comprehensive treatment. Recognizing anorexia nervosa as the disorder involving self-starvation is vital in addressing the physical and psychological complexities of this condition.

Correct Answer: B

Rationale: In the context of pharmacology and medical-surgical nursing practice, the correct answer to the question is option B) Lying about weight. When weighing a client diagnosed with binge eating disorder, using random weights helps prevent the client from lying about their weight. Individuals with binge eating disorder may have a distorted body image and may be inclined to provide inaccurate information about their weight due to shame, guilt, or fear of judgment. Option A) Dehydration is not directly related to the use of random weights when weighing a client with binge eating disorder. Dehydration can be a concern in various medical conditions, but it is not specifically addressed by the use of random weights in this context. Option C) Water loading is also not directly related to the use of random weights in this scenario. Water loading refers to the intentional consumption of large amounts of water before weighing oneself to increase the recorded weight, which is different from the issue at hand in this question. Option D) Denial of weight loss does not directly align with the purpose of using random weights when weighing a client with binge eating disorder. While denial of weight loss can be a psychological aspect in some eating disorders, the primary concern in this question is to prevent the client from providing false information about their weight, which random weights can help address. Educationally, understanding the behaviors and challenges faced by individuals with binge eating disorder is crucial for healthcare providers to provide compassionate and effective care. By recognizing the potential for patients to be dishonest about their weight due to psychological factors, nurses can employ strategies like using random weights to gather more accurate data and support their patients in a non-judgmental manner.