Pharm chapter 13 drugs for sleep

Why are benzodiazepines preferred over barbiturates? (Select all)

Have selective action at receptor sites A wide range of safety between therapeutic and lethal levels Accidental overdoses are well tolerated REM sleep is decreased to lesser extent

The nurse is explaining the use of medications to a pt with insomnia. Which statement about sedatives is true?

Increased relaxation occurs with sedatives

An older adult received a hypnotic agent at 9am. At 2am the nurse discovers that the patient has removed her gown and is attempting to get out of bed. What type of med effect is this pt exhibiting?

Paradoxical

The nurse is caring for an older adult recently admitted to an assisted living center who is exp. insomnia associated with the recent relocation. At bed time which nursing action will assist the pt to sleep?

Perform back massage

For what condition are benzodiazepines prescribed?

Preoperative sedation

When reviewing a pt history and physical info, the nurse notes that the pt has physician orders for chloral hydrate and warfarin . During assessment the nurse observes areas of petechiae and ecchymosis on upper and lower extremities. Most appropriate lab work for the nurse to assess is:

Prothrombin time

Which 2phases make up normal sleep?

REM and non REM

The nurse finds a patient extremely agitated, yells frequently and is attempting to get out of bed without assistance. Which is the nurse initial action?

Spend uniterrupted time listening to the patient

Which sleep pattern diminishes with age?

Stage IV

The nurse is assessing a patient who is being evaluated in an outpatient clinic for complaints of back pain. The patient reports taking diphenhydramine for insomnia r/t job stress. Which statement is true regarding this medication?

This med should only be taken for 1 week

Barbiturates have which common adverse effects? (Select all)

Residual daytime sleep Headache Blurred vision Impaired coordination

A patient prescribed lorazepam , to treat insomnia. What action will the nurse take?

Assess pt blood pressure in sitting and lying position

What can occur as a result of rapid withdrawal from long-term use of barbiturates therapy?

Anxiety Delirium Weakness Grand-mal seizure

In addition to facilitating sleep, what is another benefit of sedatives?

Decreased patient anxiety

The nurse is assessing a patient prior to discharge from same day surgery following an incisional breast biopsy. When assessing the pt CNS function following sedative-hypnotic therapy , what will the nurse include? (Select all)

Levels of alertness Orientation Ability to perform motor function

A pt receiving diazepam is complaining of n/v and is becoming jaundice. Which blood work will be performed?

Liver function test

Which disease is associated with insufficient sleep?

myocardial infarction

The nurse is administering somnote to a pt. When providing medication education to the patient the nurse will include somnote should be:

Taken with full glass of water