Health High School

A nurse is reinforcing teaching with a client who has a new prescription for alprazolam. The nurse should reinforce that the client should avoid which of the following while taking this medication?
Aspirin
Alcohol
Aged cheese
Acetaminophen
A nurse is reinforcing teaching about a safety plan for a client who reports partner violence. Which of the following instructions should the nurse include?"Call a shelter in another county.
"Leave your partner immediately."
"Keep a packed bag by your front door.
"Rehearse your escape route.
1. A nurse is assisting with the plan of care for a client who has peptic ulcer disease. Which of the following interventions should the nurse recommend to include?
Provide the client with a bedtime snack
Place the client on a clear liquid diet
Obtain a prescription for naproxen.
Monitor the client's stool for occult blood

Answers

Answer 1

When taking alprazolam, the client should avoid alcohol. Alcohol can increase the sedative effects of alprazolam and can also increase the risk of side effects such as drowsiness, dizziness, and impaired coordination.

In terms of the safety plan for a client experiencing partner violence, the nurse should include the following instruction:

- "Keep a packed bag by your front door." This is important so that the client can quickly leave the situation if needed, with essential items readily available.

For the plan of care for a client with peptic ulcer disease, the nurse should recommend the following intervention:

- Provide the client with a bedtime snack. This is because having a snack before bedtime can help to neutralize gastric acid and provide some relief from the discomfort associated with peptic ulcers.

The other options are not appropriate for the given scenarios:

- Aged cheese and acetaminophen are not specifically contraindicated while taking alprazolam.

- When dealing with partner violence, it is important to prioritize the safety of the client, and suggesting that they immediately leave their partner can potentially put them in further danger. Leaving an abusive relationship should be done with careful planning and consideration of available resources and support systems.

- Placing the client on a clear liquid diet is not a recommended intervention for peptic ulcer disease, as it may not provide adequate nutrition and healing.

- Obtaining a prescription for naproxen is not recommended for peptic ulcer disease, as naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can worsen the condition by increasing gastric acid secretion and impairing the protective mucosal lining of the stomach.

- Monitoring the client's stool for occult blood is important for assessing gastrointestinal bleeding, which can be a complication of peptic ulcer disease. However, it is not an intervention to include in the plan of care. The nurse should notify the healthcare provider if occult blood is detected.

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