1. The nurse in the outpatient clinic instructs a client taking
lansoprazole for the first time. The nurse determines further
teaching is required if the makewhich statement?
Answer: "I should take medication on a full stomach"
Lansoprazole is a proton-pump inhibitor and is use for the treatment
of GERD andulcers meaning it should be taken BEFORE meals.
2. A client comes to the community mental health center with
symptoms ofoverwhelming anxiety related to a job loss, impending
move, and a siblingbeing diagnosed with cancer. The client states
"I have a history of alco- holism, but have been sober for 2 years
now." The nurse anticipates the health care provider will prescribe
which medication for this client?
Answer: Buspirone
Buspirone is an antianxiety agent from a class unrelated to
barbiturates, benzo- diazepines, or anti anxiety agents. It has
minimal abuse potential and is used in situations of episodic or
acute anxiety for clients with previous addictions. Alcoholdoes not
have additive effects of buspirone, so if client drinks again while
taking it, it is safer than other anti-anxiety medications/ 7 - 10 days
until there are initial signs of improvement, and 3 - 4 weeks for full
effect to be achieved. Adverse effects include dizziness,
lightheadedness, and nervousness. The client should take the
medication with food and avoid grapefruit juice for 8 hours before
or afteradministration.
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