Ch 12 Pharm Bk & Evolve Questions

The nurse will monitor the patient who is taking a muscle relaxant for which adverse effect? A. CNS depression B. Hypertension C. Peripheral edema D. Blurred vision

A. CNS depression

A patient asks the nurse about a new drug advertised on television. The patient wants to know if Ambien would be better for her to use than her current medication, Restoril, for periodic insomnia. The nurse's response is based on knowledge that zolpidem (Ambien) (SATA) A.is less likely to cause grogginess in the morning. B.is a pregnancy category C medication. C.is contraindicated with asthma. D.should be limited to 7 to 10 days of treatment.

A.is less likely to cause grogginess in the morning. B.is a pregnancy category C medication. D. should be limited to 7 to 10 days of treatment.

A patient has been admitted to the ER because of an overdose of an oral benzodiazepine. He is very drowsy but still responsive. The nurse will prepare for which immediate intervention? A. Hemodialysis to remove the medication B. Administration of flumazenil C. Administration of naloxone D. Intubation & mechanical ventilation

B. Administration of flumazenil

Midazolam (Versed) has been ordered for a patient to be administered by injection 30 minutes prior to a colonoscopy. The nurse informs the patient that one of the most common side effects of this medication is which effect? A. Decreased heart rate B. Amnesia C. Constipation D. Dry mouth

B. Amnesia Versed is known to cause amnesia and anxiolysis as well as sedation and is therefore commonly used prior to certain procedures.

A nurse would monitor older adults who are prescribed a benzodiazepine for treatment of insomnia for which potential side effect? A. Hallucinations B. Ataxia C. Alertness D. Dyspnea

B. Ataxia Benzodiazepine doses for children and the elderly should be small with gradual increases to avoid ataxia and excessive sedation. Thus, these patients should be closely monitored for these adverse effects.

The nurse is preparing to administer a medication for sleep. Which intervention applies to the administration of a nonbenzodiazepine, such as zaleplon (Sonata)? A. These drugs need to be taken 1 hour before bedtime B. Because of their rapid onset, these drugs need to be taken just before bedtime C. The pt needs to be cautioned about the high incidence of morning drowsiness that may occur after taking these drugs D. These drugs are less likely to interact with alcohol

B. Because of their rapid onset, these drugs need to be taken just before bedtime

The patient's chart notes the administration of dantrolene (Dantrium) immediately postoperatively. What does the nurse expect the patient has experienced? A. Delirium tremens B. Malignant hyperthermia C. Tonic-clonic seizure D. Respiratory arrest

B. Malignant hyperthermia Dantrolene is a direct-acting musculoskeletal muscle relaxant and is the drug of choice to treat malignant hyperthermia, a complication of generalized anesthesia.

A patient is admitted to the emergency department after taking an overdose of a barbiturate 15 minutes prior to arrival. The nurse can anticipate that which drug will be prescribed? A. naloxone (Narcan) B. activated charcoal C. flumazenil (Romazicon) D. ipecac syrup

B. activated charcoal There is no antidote for barbiturates. The use of activated charcoal absorbs any drug in the gastrointestinal tract, preventing absorption.

During patient teaching, the nurse explains the difference between a sedative and hypnotic with which statement? A. "Sedatives are much stronger than hypnotic drugs and should only be used for short periods of time." B. "Sedative drugs induce sleep, whereas hypnotic drugs induce a state of hypnosis." C. "Most drugs produce sedation at low doses and sleep, the hypnotic effect, at higher doses." D. "There really is no difference; the terms are used interchangeably."

C. "Most drugs produce sedation at low doses and sleep, the hypnotic effect, at higher doses." Many drugs have both sedative and hypnotic properties, with the sedative properties evident at low doses and the hypnotic properties demonstrated at larger doses.

An older adult has been given a benzodiazepine for sleep induction, but the night nurse noted that the pt was awake most of the night, watching tv & reading in bed. The nurse documents that the pt has had which type of reaction to the medication? A. Allergic B. Teratogenic C. Paradoxical D. Idiopathic

C. Paradoxical

Which nursing diagnosis is appropriate for a patient who has received a sedative-hypnotic drug? A. Ineffective peripheral tissue perfusion B. Fluid volume excess C. Risk for injury D. Risk for infection

C. Risk for injury Sedative-hypnotics cause central nervous system (CNS) depression, putting the patient at risk for injury.

Which considerations are important for the nurse to remember when administering a benzodiazepine as a sedative hypnotic drug? (SATA) A. These drugs are intended for long-term management of insomnia B. These drugs can be administered safely with other CNS depressants for insomnia C. The dose needs to be given about 1 hr before the patient's bedtime D. The drug is used as a first choice for treatment of sleepiness E. The pt needs to be evaluated for the drowsiness that may occur the morning after benzodiazepine is taken

C. The dose needs to be given about 1 hr before the patient's bedtime E. The pt needs to be evaluated for the drowsiness that may occur the morning after benzodiazepine is taken

A hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address the problem? A. Administer a sedative-hypnotic drug if ordered B. Offer tea made with the herbal preparation valerian C. Encourage the pt to exercise by walking up and down the halls a few times if tolerated D. Provide an environment that is restful, ,and reduce loud noises.

D. Provide an environment that is restful, ,and reduce loud noises.

A patient is admitted to the emergency department with a severe overdose of a benzodiazepine. The nurse immediately prepares to administer which antidote from the emergency drug cart? A. naloxone (Narcan) B. naltrexone (ReVia) C. nalmefene (Revex) D. flumazenil (Romazicon)

D. flumazenil (Romazicon) Flumazenil is the antidote for benzodiazepine overdose. The other options are only effective against opioid effects.