Chapter 13 Drugs Used for Sleep

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Chapter 13  Drugs Used for Sleep

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse finds that a patient is extremely agitated, yells frequently, and is attempting to get out of bed without assistance. What is the nurse’s initial action?
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 health care provider.
d.
Spend uninterrupted time listening to the patient.

ANS: D
Assessing the patient’s level of anxiety is important. The patient may only need someone to listen to what stressors he or she is facing. The nurse must assess the patient before medication can be administered.

DIF: Cognitive Level: Analysis REF: Page 189 OBJ: 3
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety; Anxiety

2. 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. What type of medication effect is the patient exhibiting?
a.
Allergic
b.
Hypersensitivity
c.
Paradoxical
d.
Therapeutic

ANS: C
A paradoxical effect may occur in older adult patients. This includes periods of excitement, confusion, restlessness, and euphoria. Allergies to medications tend to manifest in skin or respiratory symptoms. A patient who is hypersensitive to a hypnotic would be difficult to rouse. A therapeutic effect for a hypnotic would be sedation.

DIF: Cognitive Level: Application REF: Page 192 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety; Sensory Perception

3. For what conditions are benzodiazepines prescribed?
a.
Chronic amnesia
b.
Chronic insomnia
c.
Preoperative sedation
d.
Psychotic episodes

ANS: C
The sedative-hypnotic effect of benzodiazepines facilitates surgical sedation. Short-acting benzodiazepines are administered intramuscularly for preoperative sedation. They are also given intravenously for conscious sedation before short diagnostic procedures or for the induction of general anesthesia. Benzodiazepines are not recommended for long-term use and do not affect amnesia. Benzodiazepines are a poor choice for the treatment of chronic insomnia because of their risk for habituation. Benzodiazepines do not have an antipsychotic effect.

DIF: Cognitive Level: Knowledge REF: Page 192 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment

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

ANS: B
Liver function tests will be performed because nausea, vomiting, and jaundice can be indicative of hepatotoxicity. Abnormal liver function test results (i.e., elevated bilirubin, aspartate transaminase [AST], alanine transaminase [ALT], gamma-glutamyl transferase [GGT], and alkaline phosphatase levels, as well as prothrombin time) are indicative of hepatotoxicity. Benzodiazepines do not affect the kidneys, clotting times, and electrolytes.

DIF: Cognitive Level: Application REF: Page 195 OBJ: 6
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

5. In addition to facilitating sleep, what is another benefit of sedatives?
a.
Increased pain control postoperatively
b.
Reduced bronchial secretions
c.
Decreased patient anxiety
d.
Increased patient alertness

ANS: C
Preoperatively, sedatives will help decrease patient anxiety and facilitate sleep. Sedatives are not long acting enough to affect postoperative pain control. Sedatives do not affect bronchial secretions. Sedatives diminish patient alertness.

DIF: Cognitive Level: Knowledge REF: Page 188 OBJ: 1
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment

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