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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