Nokea
A client is prescribed flurazepam. When explaining the drug to the client, the nurse would include which of the following as its effect?
- A. Decreased stress
- B. Easing of pain
- C. Induction of sleep
- D. Improvement in circulation
Correct Answer: C
Rationale: Flurazepam induces sleep. Adrenergic drugs help to relieve stress. Analgesics are used to ease pain. Circulation can be improved by exercising.
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A nurse is preparing an in-service presentation about hypnotics. Which of the following would the nurse plan to include?
- A. Usually, given during the daytime hours
- B. Helpful in reducing anxiety
- C. Most likely administered at bedtime
- D. Exert a calming effect
Correct Answer: C
Rationale: A hypnotic is a drug that induces drowsiness or sleep, meaning it allows the patient to fall asleep and stay asleep. Hypnotics are given at night or bedtime. A sedative is a drug that produces a relaxing, calming effect. Sedatives are usually given during daytime hours, and although they may make the patient drowsy, they usually do not produce sleep.
A client asks the nurse about using valerian to help him sleep. Which response by the nurse would be most appropriate?
- A. The herb is generally considered safe.
- B. You need to take it about 4 hours before bedtime.
- C. It might take 2 to 4 weeks before you notice the full benefit.
- D. You can combine it with other calming herbs.
- E. If you stop using it, you won't have any withdrawal symptoms.
Correct Answer: A,C,D
Rationale: Valerian is classified as 'generally recognized as safe' (GRAS) for use in the United States. When used as an aid to sleep, valerian is taken approximately 1 hour before bedtime. It can be used in combination with other calming herbs, such as lemon balm or chamomile. It may take 2 to 4 weeks before the full therapeutic effect (i.e., improvement of mood and sleep patterns) occurs. Individuals have been known to experience withdrawal symptoms when they stop taking valerian abruptly.
A nurse anticipates the use of a sedative and hypnotic for which of the following?
- A. Headache
- B. Status epilepticus
- C. Preoperative sedation
- D. Insomnia
- E. Hypertension
Correct Answer: B,C,D
Rationale: Sedatives and hypnotics are used in the treatment of insomnia, convulsions, status epilepticus, and seizures and in preoperative and conscious sedation.
A nurse understands that sedatives and hypnotics are used to treat insomnia, which may be caused by which of the following?
- A. Hospitalization
- B. Chronic pain
- C. Stress
- D. Anxiety
- E. Jet lag
Correct Answer: A,B,C,D,E
Rationale: Insomnia may be caused by lifestyle changes, such as a new job, moving to a new town, or returning to school; jet lag; chronic pain; headaches; stress; anxiety; or hospitalization.
After administering a hypnotic drug to a client, the nurse would assess which of the following?
- A. Blood pressure
- B. Blood glucose level
- C. Drug efficacy
- D. Level of consciousness
- E. Respiratory rate
Correct Answer: A,C,D,E
Rationale: The nurse's ongoing assessment for the administration of a hypnotic drug should include assessment of the client's vital signs, level of consciousness, and drug efficacy.