Nokea
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.
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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.
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.
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.
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.
A 14-year-old client with insomnia is prescribed estazolam. After administering the drug, the nurse would assess the client for which of the following as an adverse reaction?
- A. Muscle pain
- B. Chest pain
- C. Heartburn
- D. Taste change
Correct Answer: C
Rationale: One of the adverse reactions of estazolam is heartburn. Muscle pain is an adverse reaction of zolpidem tartrate. Chest pain and taste change are caused by eszopiclone.