Pharm 2 - Unit 1 Module 1 Pre/Post Quizzes

A patient is scheduled for a short surgical procedure. The anesthesiologist will administer secobarbital (Seconal), a barbiturate, to help sedate the patient. Given its classification, the post operative nurse will assess for which adverse effect of the drug? A) Hypertension B) Hangover feeling C) Tachypnea D) Constipation

B) Hangover feeling

Which considerations are important for the nurse to remember when administering Diazepam (Valium)? (select all that apply) A) It is helpful to give this medication with diphenhydramine (Benadryl), an antihistamine, to make the effects of the drug last longer, to ensure a restful nights sleep B) The patient should be assessed upon awakening for signs of excessive drowsiness C) It is safe for immediate discontinuation of the drug, with no weaning necessary D) It is safe to give with another drug of the same classification E) The dose should be given 1 hour prior to bedtime for maximum effectiveness

B) The patient should be assessed upon awakening for signs of excessive drowsiness E) The dose should be given 1 hour prior to bedtime for maximum effectiveness

The nurse is explaining the use of medications to a patient with insomnia. Which statement about sedatives is true? A) "Increased relaxation occurs with sedative use" B) "Sedatives are more potent that hypnotics" C) "Sedatives increase the total time in REM sleep" D) "A sedative will produce sleep"

A) "Increased relaxation occurs with sedative use"

Which patient is most likely to respond quickly to anti-anxiety therapy with diazepam (Valium)? A) A patient with recent anxiety diagnosis B) A patient with severe depression in addition to anxiety C) A patient with incidents of auditory hallucinations D) A patient with a history of long-term anxiety

A) A patient with recent anxiety diagnosis

An emergency room nurse is caring for a patient who has overdosed on Lorazepam (Ativan). What is the first priority action of the nurse? A) Administration of Flumazenil (Romazicon) as ordered B) Administration of Naloxone as ordered C) Give a large bolus of IV fluid to flush the medication from the patient D) Immediately have the patient admitted to Intensive Care Unit

A) Administration of Flumazenil (Romazicon) as ordered

A patient has been prescribed clonazepam (Klonopin), a benzodiazepine used to treat insomnia. Which priority action will the nurse take with regard to this medication? A) Assess the patient's blood pressure in sitting and lying positions B) Assess the patient's respiratory status prior to administration C) Advise the patient to take the medication with food D) Instruct the patient to lie down before taking the medication

A) Assess the patient's blood pressure in sitting and lying positions

The nurse is educating a patient that has newly been prescribed buspirone (Buspar). What information about this medication should be included? A) There is minimal potential for abuse B) It stimulates the action of GABA-aminobutyric acid (GABA) C) Sedation is increased compared to other medications in the same classification D) Medication can be taken on an "as needed" basis

A) There is minimal potential for abuse

A patient has been prescribed Baclofen (Lioresal) for chronic, moderate back pain. In the event of an overdose, which medication is most effective in reversing the effects of the drug? A) There is no existing medication for reversal. B) Buspirone (Buspar) C) Secobarbital (Seconal) D) Midazolam (Versed)

A) There is no existing medication for reversal

In addition to facilitating sleep, what is another benefit of alprazolam (Xanax)? A) Increased alertness B) Decreased patient anxiety C) Reduced bronchial secretions D) Increased pain control post operatively

B) Decreased patient anxiety

The nurse is explaining the use of oxazepam (Serax), a benzodiazepine, to a patient with worsening insomnia. Which statement by the patient tells the nurse further teaching is needed? A) "A sedative will make me more relaxed and help me sleep" B) "I can become dependent on sedatives but not hypnotics" C) "I need to inform my provider if I find myself needing higher doses to have the same effect" D) "I shouldn't mix sedatives with alcohol"

B) "I can become dependent on sedatives but not hypnotics"

The nurse is caring for an older patient recently admitted to an assisted living center who is experiencing insomnia associated with the recent relocation. At bedtime, which nursing action will assist the patient to sleep? A) Offer the patient a cup of hot tea B) Administer an analgesic C) Perform back massage D) Encourage ambulation in the hallways to make the patient more tired

C) Perform back massage

Which physical symptom is a possible sign that a patient has not had their normally prescribed sedative since admission 3 days ago? A) Decreased oxygen saturation B) Drowsiness C) Tachycardia D) Decreased respiratory rate

C) Tachycardia

A nurse is providing information to a female patient who has a new prescription for zolpidem (Ambien). Which instructions should the nurse include in patient education? (select all that apply) A) To increase the effectiveness of zolpidem (Ambien), take it with a bedtime snack B) It is safe to take the medication with a small glass of wine to help make you sleepy C) Take the medication at 30-60 minutes prior to bedtime D) Notify the physician if you plan to become pregnant E) Allow for at least 6-7 hours for sleep when taking zolpidem (Ambien)

C) Take the medication at 30-60 minutes prior to bedtime D) Notify the physician if you plan to become pregnant E) Allow for at least 6-7 hours for sleep when taking zolpidem (Ambien)

Therapeutic outcomes for a patient suffering from anxiety disorder state, "After one week on lorazepam (Ativan) therapy, patient will exhibit a manageable level of anxiety." Which assessment finding validates this outcome is met? A) Patient reports persistent fears about dying and is unable to discuss those fears B) Patient is unable to participate in group therapy conversations C) Patient verifies family reunions trigger anxiety and excessive drinking so they avoid those settings D) Patient reports sleeping better and increased interests in activities

D) Patient reports sleeping better and increased interests in activities

A hospitalized patient is having trouble falling asleep. Which initial intervention is the best action for the nurse to take? A) Suggest the patient take an over the counter medication, such as Tylenol PM (Acetaminophen) to induce sleep B) Administer PRN Lorazepam (Ativan) as ordered by the provider C) Have the patient sip tea and eat a light snack before going to bed D) Turn down the lights and reduce noise to create an environment conducive for sleep

D) Turn down the lights and reduce noise to create an environment conducive for sleep