Chapter 14 Sedative-Hypnotics

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Chapter 14  Sedative-Hypnotics

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse finds that a patient is extremely agitated, yelling out frequently, and 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

Feedback
A
The nurse must assess the patient before medication can be administered.
B
The nurse must assess the patient before medication can be administered.
C
The nurse must assess the patient before medication can be administered.
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.

DIF: Cognitive Level: Analysis REF: 212
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

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

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

DIF: Cognitive Level: Application REF: 215
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity

3. For what conditions are benzodiazepines prescribed?
A.
Chronic amnesia
B.
Chronic insomnia
C.
Preoperative sedation
D.
Psychotic episodes

ANS: C

Feedback
A
Benzodiazepines are not recommended for long-term use and do not affect amnesia.
B
Benzodiazepines are a poor choice for the treatment of chronic insomnia because of their risk for habituation.
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.
D
Benzodiazepines do not have an antipsychotic effect.

DIF: Cognitive Level: Knowledge REF: 216
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

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

Feedback
A
Benzodiazepines do not affect the kidneys.
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, and prothrombin time) are indicative of hepatotoxicity.
C
Benzodiazepines do not affect clotting times.
D
Benzodiazepines do not affect electrolytes.

DIF: Cognitive Level: Application REF: 218
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity

 

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