Question

During the client-teaching session, which instruction should the nurse give to a client receiving alprazolam (Xanax)?

1. "Discontinue the medication immediately if you experience nausea."
2. "Notify the physician if you experience urine retention."
3. "Apply sunscreen to prevent photosensitivity."
4. "Inform the physician if you become pregnant or intend to do so."

Answer 1

The nurse should instruct the client receiving alprazolam (Xanax) to inform the physician if they become pregnant or intend to do so.

Step-by-step explanation:

The nurse should instruct the client receiving alprazolam (Xanax) to inform the physician if they become pregnant or intend to do so. This is because alprazolam is a category D drug, meaning it may cause harm to an unborn baby.

The other options given are not directly related to the medication alprazolam. Nausea is a common side effect of many medications and does not require immediate discontinuation. Urine retention is not typically associated with alprazolam use. While photosensitivity is a potential side effect of some medications, it is not specific to alprazolam.

Answer 2

The nurse should instruct the client receiving alprazolam (Xanax) to "inform the physician if they become pregnant or intend to do so." This is crucial as alprazolam belongs to the benzodiazepine class, and discussing pregnancy plans helps the healthcare provider assess potential risks and benefits.

4. "Inform the physician if you become pregnant or intend to do so."

Step-by-step explanation:

The instruction to "inform the physician if you become pregnant or intend to do so" is pertinent for individuals receiving alprazolam (Xanax) due to the potential implications of benzodiazepine use during pregnancy. Alprazolam, a central nervous system depressant, can cross the placental barrier, potentially affecting the developing fetus. It is classified as a Category D medication in pregnancy, indicating a potential risk to the fetus.

The healthcare provider needs to be aware of a patient's pregnancy plans or status to carefully assess the risks and benefits of continuing alprazolam. Abruptly discontinuing benzodiazepines, including alprazolam, can lead to withdrawal symptoms and increased anxiety, posing additional risks to both the pregnant individual and the fetus. Therefore, any decision regarding the use of alprazolam during pregnancy requires a thorough evaluation by the healthcare team.

Additionally, the instruction emphasizes the importance of open communication between the patient and healthcare provider, fostering a collaborative approach to managing the individual's health. By being aware of pregnancy intentions or status, the healthcare provider can tailor a treatment plan that balances the need for managing anxiety or other conditions with minimizing potential risks to the developing fetus, promoting the overall well-being of both the patient and their future child. So the correct option is 4. "Inform the physician if you become pregnant or intend to do so."