Pharm ch 20 Prepu

What classification of over-the-counter (OTC) medications is often used by clients as treatment for insomnia?

antihistamines

A truck driver has been diagnosed with a generalized anxiety disorder (GAD) and lorazepam has been prescribed. The client asked the nurse how this medication will affect his job. The nurse would advise him how?

avoid driving until he is aware of the adverse effects.

The nurse should notify the healthcare provider for which client to clarify a prescription of lorazepam?

A client 67 years of age with acute narrow-angle glaucoma

A client is prescribed an anxiolytic agent. What would be most important for the nurse to include in the teaching?

"Be sure not to stop the drug abruptly."

A 70-year-old male client asks why he is receiving a lower dose of zaleplon than his son. As part of the nurse's teaching plan, which explanation will the nurse give this client?

"Older adults metabolize the drug more slowly, and half-lives are longer than in younger adults."

A hospitalized client asks the nurse why the health care provider prescribed an anxiolytic medication. What is the nurse's best response? "This type of medication is typically prescribed to treat excess anxiety that interferes with daily activities." "An anxiolytic, such as alprazolam, is usually prescribed for long-term anxiety disorders." "Anxiolytic drugs are different from antianxiety drugs, because they work without a tranquilizing effect." "Anxiolytics are prescribed to treat anxiety and can be purchased without a prescription after discharge."

"This type of medication is typically prescribed to treat excess anxiety that interferes with daily activities."

What assessment question would be most appropriate when providing care for a client newly prescribed chlordiazepoxide? "How has your alcohol use affected your quality of life?" "What is motivating you to stop drinking alcohol?" "When did you have your last drink of alcohol?" "How much alcohol have you ingested in the last 8 hours?"

"When did you have your last drink of alcohol?"

The nurse should not administer sedatives or hypnotic drugs to which client?

Comatose client

Clients taking benzodiazepines, especially older adult clients, are at high risk for which effect? Hepatic failure Constipation Falls Heart failure

Falls

Which action by the new nurse would alert the charge nurse that more education is needed for the new nurse, after administering an anxiolytic to a client?

Having the client walk to the bathroom

A patient admitted to the health care facility for alcohol withdrawal has been prescribed an antianxiety medication. Why should the nurse suggest the patient stop consuming alcohol while therapy is ongoing?

Increased risk for central nervous system depression

The nurse is reviewing the medication chart of an 82-year-old man who has recently moved to a long-term care facility. The record reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse should recognize what consequence of this resident's drug regimen?

Increased risk for falls

The client suffers from GERD and diverticulosis and has been admitted to a medical floor. The admitting physician orders cimetadine and a sedative to calm the client. What should the nurse be concerned about?

Increased sedative effect

A nurse is caring for a patient who is prescribed flurazepam. Which is an effect of flurazepam?

Induces sleep

A patient undergoing treatment with barbiturates is showing symptoms of barbiturate toxicity. Which intervention should the nurse perform?

Provide respiratory assistance

A 70-year-old patient has just started taking lorazepam 10 days ago for anxiety issues related the death of her husband. She is staying with her daughter for a couple of weeks. The patient's daughter has noticed that her mother is having difficulty walking and seems to be confused at times and calls the clinic to report this to the nurse. The nurse will inform the daughter that:

a dose adjustment should be made if these symptoms persist.

A client is receiving a barbiturate intravenously. The nurse would monitor the client for:

bradycardia

What aspect of a client's health is most likely to cause insomnia?

chronic pain

An older adult client is prescribed a sedative for the treatment of insomnia. The nurse would suspect that the client is experiencing an adverse reaction to the drug based on assessment of which of the following? Confusion Stress Anxiety Headache

confusion

In addition to relieving agitation and anxiety, what is a rationale for using benzodiazepines in the treatment of a critically ill client? decreased blood pH increased diffusion and perfusion increased level of consciousness decreased cardiac workload

decreased cardiac workload

When providing health education for a client, the nurse should cite what significant risk associated with the adverse effects of benzodiazepines?

dependence

A nurse has noted that a newly admitted client has been taking ramelteon for the past several weeks. The nurse is justified in suspecting that this client was experiencing what problem prior to starting this drug?

difficulty falling asleep at night

A nurse is caring for a patient who is being administered alprazolam. What initial adverse reaction of alprazolam should the nurse assess for? Heartbur Allergy Anorexia Headache

headache

The nurse is caring for a client who has been prescribed suvorexant (Belsomra). The nurse should teach the client to:

plan to stay in bed for seven hours after taking the drug.

A nurse has been taught to observe for adverse reactions whenever administering a medication. One non-nervous system reaction after giving a sedative is: headache. dizziness. drowsiness. nausea.

nausea

One week ago, a 74-year-old was started on a benzodiazapine for the treatment of an anxiety disorder. The client comes into the clinic for a follow-up visit and states feeling nervous, is having trouble sleeping, and feels hyperactive. What does the nurse understand may be occurring as a result of this medication? paradoxical excitement not taking the medication as ordered (noncompliance) taking too much of the medication (nonadherence) allergic reaction to the benzodiazepine

paradoxical excitement

In order to minimize the chances of withdrawal symptoms, the nurse knows that the client prescribed a benzodiazepine taken daily will likely be advised to take which precaution?

tapering the dose of drug over a prolonged period of time

A nurse is administering a prescribed dose of chlordiazepoxide to a client. The nurse should closely assess the client for what adverse reaction? respiratory depression urinary retention esophageal bleeding idiopathic thrombocytopenic purpura (ITP)

respiratory depression

The intensive care nurse should prioritize what assessments for a client prescribed both lorazepam and hydromorphone?

respiratory rate and oxygen saturation