A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?
A.
“Stop taking alprazolam right away if you experience abdominal discomfort.”
B.
“Watch for drowsiness and light-headedness while taking alprazolam.”
C.
“Drinking alcohol decreases the effectiveness of alprazolam.”
D.
“This medication has a low risk for physical dependence.”
The correct answer and Explanation is :
The correct answer is B. “Watch for drowsiness and light-headedness while taking alprazolam.”
Explanation:
Alprazolam is a benzodiazepine commonly prescribed for anxiety disorders, including generalized anxiety disorder (GAD). As a central nervous system (CNS) depressant, it can cause various side effects, and it is crucial for clients to be aware of these potential effects to manage their medication safely.
1. Drowsiness and Light-Headedness: Alprazolam can cause drowsiness, dizziness, and light-headedness as common side effects. These effects are related to its CNS depressant properties. It’s important for clients to be aware of these symptoms, as they can impact their ability to perform tasks that require full alertness, such as driving or operating machinery. Monitoring for these effects helps in adjusting the dosage if necessary and avoiding activities that could be dangerous if these side effects occur.
2. Discontinuation of Medication: The instruction to stop taking alprazolam immediately if experiencing abdominal discomfort (Option A) is not appropriate. Discontinuing alprazolam abruptly can lead to withdrawal symptoms, including anxiety, agitation, and seizures, especially if the medication has been used for a prolonged period. Any adverse effects should be reported to a healthcare provider who can guide appropriate adjustments to the treatment plan.
3. Alcohol Interaction: Option C is inaccurate because drinking alcohol actually increases the risk of severe side effects from alprazolam, such as extreme drowsiness, respiratory depression, and even overdose, rather than decreasing its effectiveness. Therefore, clients should be advised to avoid alcohol while on this medication.
4. Risk of Dependence: Option D is misleading as alprazolam, like other benzodiazepines, does carry a risk of physical dependence and tolerance, particularly with long-term use. It is important for clients to understand this risk and follow their healthcare provider’s guidance to minimize potential for dependence.
In summary, educating clients about the side effects of alprazolam, such as drowsiness and light-headedness, is crucial for ensuring their safety and effective management of their anxiety disorder.