Exam #2 Question&answer

A health care professional should question the use of alprazolam (Xanax) for a patient who 1. has a history of thromboembolism. 2. drinks 8-oz glasses of wine each evening. 3. takes prednisone (Prelone) for rheumatoid arthritis. 4. takes vampiric acid (Depakote) for seizure disorder. {Ans: Answer 2. Rationale: To prevent severe sedation and respiratory depression, patients should avoid alcohol and other CNS depressants when taking benzodiazepines.}Education given to clients about the use of all drugs to treat insomnia should include an emphasis on what important issue? 1. They will be required long-term to achieve long-lasting effects. 2. They require frequent blood counts to avoid adverse effects. 3. They are among the safest drugs available and have few adverse effects. 4. Long-term use may increase the risk of adverse effects, create a "sleep debt", and cause rebound insomnia when stopped. {Ans: Answer 4. Rationale: Long-term use of drugs to treat insomnia is not recommended. They have significant adverse effects, may cause a "sleep debt" due to effects on the sleep cycle, and may cause rebound insomnia when discontinued. Option 1, 2, and 3 are incorrect. Many of the drugs used for insomnia have significant adverse effects and are not