Pham 13

Which benefit applies to the use of sedatives? a. Increased pain control postoperatively b. Reduced bronchial secretions c. Decreased patient anxiety d. Increased patient alertness

c. Decreased patient anxiety

Which statement about sedatives is true? a. A sedative will produce sleep. b. Sedatives increase the total time in REM sleep. c. Increased relaxation occurs with sedatives. d. Sedatives are more potent than hypnotics.

c. Increased relaxation occurs with sedatives.

Which disease is associated with insufficient sleep? a. Cancer b. Glaucoma c. Myocardial infarction d. Renal failure

c. Myocardial infarctio

An older adult patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse discovers that the patient has removed her gown and is attempting to get out of bed without assistance. Which type of medication effect is the patient exhibiting? a. Allergic b. Hypersensitivity c. Paradoxical d. Therapeutic

c. Paradoxical

Which common adverse effect(s) apply(ies) to barbiturates? (Select all that apply.) a. Residual daytime sedation b. Headache c. Hyperactivity d. Blurred vision e. Impaired coordination

a. Residual daytime sedation b. Headache d. Blurred vision e. Impaired coordination

Which two phases make up normal sleep? a. Hypnagogic and hypnopompic b. Rapid eye movement (REM) and non REM c. Alpha and beta d. Delta and theta

B) Rapid eye movement (REM) and non REM

Which effect(s) can occur as a result of rapid withdrawal from long-term use of benzodiazepine therapy? (Select all that apply.) a. Anxiety b. Delirium c. Weakness d. Grand mal seizures e. Severe pain

a. Anxiety b. Delirium c. Weakness d. Grand mal seizures

Which information will the nurse include when assessing the patient's central nervous system (CNS) function following sedative-hypnotic therapy? (Select all that apply.) a. Level of alertness b. Orientation c. Ability to perform motor functions d. Blood pressure

a. Level of alertness b. Orientation c. Ability to perform motor functions

Which explanation is correct in identifying why benzodiazepines are often preferred over barbiturates? (Select all that apply.) a. They have selective action at specific receptor sites. b. There is a wide range of safety between therapeutic and lethal levels. c. REM sleep is decreased to a lesser extent. d. Accidental overdoses are well tolerated. e. There are no hypotensive episodes when rising to a sitting position.

a. They have selective action at specific receptor sites. b. There is a wide range of safety between therapeutic and lethal levels. c. REM sleep is decreased to a lesser extent. d. Accidental overdoses are well tolerated.

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 related to job stress. Which statement by the nurse is accurate regarding this medication? a. This medication should only be taken for 1 week.‖ b. Thismedicationcancausenausea.‖ c. The medication should not be taken after eating a high-fat meal.‖ d. This is an herbal medication that has been used for hundreds of years.‖

a. This medication should only be taken for 1 week.‖

Which action will the nurse take when a patient has been prescribed lorazepam (Ativan)? a. Advise the patient to take the medication with food. b. Assess the patient's blood pressure in sitting and lying positions. c. Inform the patient to discontinue the medication once sleep improves. d. Instruct the patient to lie down before taking the medication.

b. Assess the patient's blood pressure in sitting and lying positions.

Which information should be included when providing patient education on ramelteon (Rozerem)? a. Thoroughly chew . b. Do not take with a high fat meal. c. Take on an empty stomach. d. Take only before bedtime.

b. Do not take with a high fat meal.

Which type of blood work will be performed when a patient receiving diazepam (Valium) is complaining of nausea and vomiting and is becoming jaundice? a. Renal function tests b. Liver function tests c. Clotting times d. Electrolyte panels

b. Liver function tests

The nurse is caring for an older patient recently admitted to an assisted living center who is experiencing insomnia associated with the recent relocation. Which nursing action will assist the patient to sleep? a. Offering the patient hot tea b. Encouraging the patient to ambulate in the hallway c. Performing back massage d. Administering an analgesic

c. Performing back massage

Which condition indicates the need for benzodiazepines to be prescribed? a. Chronic amnesia b. Chronic insomnia c. Preoperative sedation d. Psychotic episode

c. Preoperative sedation

When reviewing a patient's history and physical information, the nurse notes that the patient has physician's orders for chloral hydrate and warfarin. During assessment of this patient, the nurse observes areas of petechiae and ecchymosis on the upper and lower extremities. Which lab work is most appropriate for the nurse to assess next? a. Liver function studies b. C-reactive protein c. Sedimentation rate d. Prothrombin time

d. Prothrombin time

Which initial action should the nurse take when finding a patient extremely agitated, yelling frequently, and attempting to get out of bed without assistance? a. Administer zolpidem after taking the patient's vital signs. b. Close the patient's door for privacy after administering Tylenol. c. Administer benzodiazepine before calling the healthcare provider. d. Spend uninterrupted time listening to the patient.

d. Spend uninterrupted time listening to the patient.

Which sleep pattern stage diminishes as an effect of aging? a. Stage I b. Stage II c. Stage III d. Stage IV

d. Stage IV