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A nurse emphasizes the need to avoid caffeine and caffeinated beverages with a client undergoing treatment for insomnia based on the nurse's understanding that caffeine will most likely have which effect?
- A. Wakefulness
- B. Depression
- C. Delirium
- D. Restlessness
Correct Answer: A
Rationale: Clients with insomnia should not drink beverages containing caffeine because it can cause wakefulness. Caffeine does not causeexplains why avoiding caffeine is important for clients with insomnia, as it can counteract the sedative effects of medications, leading to wakefulness.
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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.
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 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 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 nurse is preparing to administer a sedative and hypnotic drug to a client. The nurse identifies the drug as a nonbenzodiazepine-type hypnotic and sedative drug. Which of the following might the nurse be preparing to administer?
- A. Temazepam
- B. Eszopiclone
- C. Zolpidem
- D. Triazolam
- E. Zaleplon
Correct Answer: B,C,E
Rationale: Eszopiclone, zolpidem, and zaleplon are examples of nonbenzodiazepine-type hypnotic and sedative drugs. Temazepam and triazolam are benzodiazepines.