Nokea
A group of nursing students are reviewing information about sedatives and hypnotics. The students demonstrate understanding of the information when they identify which of the following as an example of a barbiturate-type hypnotic and sedative drug?
- A. Pentobarbital
- B. Eszopiclone
- C. Zolpidem
- D. Triazolam
- E. Secobarbital
Correct Answer: A,E
Rationale: Pentobarbital and secobarbital are examples of barbiturate-type hypnotic and sedative drugs. Eszopiclone and zolpidem are nonbenzodiazepine sedative and hypnotic drugs. Triazolam is a benzodiazepine sedative and hypnotic drug.
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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.
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.
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.
A client is admitted to a local health care facility for chronic insomnia. The primary health care provider prescribes eszopiclone. Which of the following would the nurse encourage the client to avoid when teaching the client about this drug?
- A. Strenuous work
- B. Alcohol consumption
- C. Tobacco use
- D. Direct sunlight
Correct Answer: B
Rationale: The nurse should instruct the client to avoid alcohol during the period of eszopiclone therapy as alcohol interacts with eszopiclone to cause CNS depression. Strenuous work, use of tobacco, and exposure to sunlight are not of concern.
After teaching a group of students about sedatives and hypnotics, the instructor determines that the teaching was successful when the students identify which of the following as an example of a benzodiazepine-type hypnotic and sedative drug?
- A. Temazepam
- B. Eszopiclone
- C. Secobarbital
- D. Triazolam
- E. Zaleplon
Correct Answer: A,D
Rationale: Temazepam and triazolam are examples of benzodiazepine-type hypnotic and sedative drugs.