Nokea
A client is prescribed secobarbital. The nurse understands that the client is at increased risk of respiratory depression. The nurse plans to assess the client's respiratory status at which time?
- A. 5 to 10 minutes after drug administration
- B. 10 to 15 minutes after drug administration
- C. 30 to 60 minutes after drug administration
- D. Before drug administration
- E. 60 to 90 minutes after drug administration
Correct Answer: C,D
Rationale: The nurse carefully assesses respiratory function before administering a sedative, 30 to 60 minutes after administering the drug, and frequently thereafter.
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Which of the following are examples of supportive care the nurse can provide to a client receiving a sedative or hypnotic drug to promote the effects of the drug?
- A. Darkening the client's room
- B. Discouraging caffeine intake
- C. Providing a quiet atmosphere
- D. Administering back rubs
- E. Waking the client to check consciousness
Correct Answer: A,B,C,D
Rationale: To promote the effects of the sedative or hypnotic drug, the nurse can provide supportive care, such as giving back rubs, using night lights or making the room dark, providing a quiet atmosphere, and discouraging caffeine use.
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.
The nurse should withhold the hypnotic drug if assessment reveals which of the following?
- A. Respiratory rate is below 10 breaths/min.
- B. Blood glucose is above 200 mg/dL.
- C. The client appears lethargic.
- D. Blood pressure drops significantly.
- E. The client is having trouble sleeping.
Correct Answer: A,C,D
Rationale: The nurse should hold the hypnotic drug if the respiratory rate is below 10 breaths/min, the client appears lethargic, or the blood pressure drops significantly. Difficulty sleeping is the indication for administering the drug. Blood glucose is unrelated to the use of hypnotics.
A nurse would cautiously administer sedatives and hypnotics to clients with which of the following?
- A. Hepatic impairment
- B. Hypertension
- C. Renal impairment
- D. Mental health problems
- E. Habitual alcohol use
Correct Answer: A,C,D,E
Rationale: A nurse should use caution when administering sedatives and hypnotics to clients with hepatic or renal impairment, habitual alcohol use, and mental health problems and in clients who are lactating.
A client is prescribed zolpidem. As part of the teaching plan, the nurse would emphasize the need to plan for the proper amount of sleep. The nurse determines that the teaching plan was successful when the client states that he will plan for how many hours of sleep at night?
- A. 5 to 6 hours
- B. 7 to 8 hours
- C. 9 to 10 hours
- D. 11 to 12 hours
Correct Answer: B
Rationale: With zolpidem it is important that the client plan to have 7 to 8 hours of sleep to reduce the risk of memory loss and confusion with this drug.