Nokea
A client who is prescribed a hypnotic asks the nurse, 'About how long will I be taking this medication?' Which time frame would the nurse most likely include in the response?
- A. 2 weeks
- B. 4 weeks
- C. 6 weeks
- D. 8 weeks
Correct Answer: A
Rationale: Sedatives and hypnotics are best given for no more than 2 weeks and preferably for a shorter time. Sedatives and hypnotics can become less effective after they are taken for a prolonged period.
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The nurse would assess an older adult client who is receiving sedatives or hypnotics for an increased risk for which of the following?
- A. Hypertension
- B. Paradoxical reactions
- C. Dizziness
- D. Confusion
- E. Ataxia
Correct Answer: B,C,D,E
Rationale: The older adult client is at greater risk for oversedation, dizziness, confusion, ataxia, and paradoxical reactions to sedative and hypnotic drugs.
Before administering a sedative or hypnotic to a client, the nurse would assess which of the following?
- A. Blood pressure
- B. Pulse
- C. Oxygen saturation level
- D. Respiratory rate
- E. Temperature
Correct Answer: A,B,D
Rationale: The nurse's preadministration assessment for a client receiving a sedative or hypnotic should include blood pressure, pulse, and respiratory rate.
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.
A nurse would cautiously administer sedatives and hypnotics to which of the following clients?
- A. Clients who are lactating
- B. Clients with heart trouble
- C. Clients with hypertension
- D. Clients with gastrointestinal upset
Correct Answer: A
Rationale: The nurse should exercise caution when administering sedatives and hypnotics to lactating clients. Sedatives and hypnotics are not contraindicated in clients with heart trouble, hypertension, or gastrointestinal problems, nor do they require cautious use.
After teaching a group of nursing students about sedatives and hypnotics, the instructor determines that additional teaching is needed when the students identify the absorption of which drug as being affected by a high Vat high-fat meal?
- A. Zolpidem
- B. Eszopiclone
- C. Ramelteon
- D. Zaleplon
Correct Answer: A
Rationale: Zolpidem should not be taken with food. A high-fat meal or snack can interfere with the absorption of eszopiclone, ramelteon, and zaleplon.