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    ATI Mental & Med Surg proctored Exam

    A nurse is caring for a client who is prescribed alprazolam, a benzodiazepine for managing severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?

    Explanation & Rationale

    Choice A reason: Increasing alprazolam dose without medical guidance is unsafe due to risks of dependence and overdose. Benzodiazepines require strict dosing to avoid respiratory depression, making this choice incorrect and dangerous for client discussion. Choice B reason: Alprazolam provides rapid relief for anxiety within hours, not weeks, due to its fast-acting benzodiazepine properties on GABA receptors. Expecting relief after weeks is incorrect, as it misrepresents the drug’s pharmacokinetics, making this choice incorrect. Choice C reason: Tyramine avoidance applies to MAOI antidepressants, not benzodiazepines like alprazolam. Tyramine causes hypertensive crises with MAOIs, not alprazolam, which affects GABA, making this choice irrelevant and incorrect for the discussion. Choice D reason: Alprazolam can cause sedation and impaired coordination, affecting GABA receptors and slowing brain activity. Advising to avoid driving or machinery until its effects are known ensures safety, making this the correct topic for client education.

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