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.
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A client admitted to the health care facility for insomnia related to stress is prescribed a sedative. Which of the following would the nurse include in the plan of care to promote the effectiveness of the drug?
- A. Encourage plenty of fluids.
- B. Provide back rubs.
- C. Offer fiber-rich food.
- D. Give the client coffee or tea.
Correct Answer: B
Rationale: Back rubs are relaxing and help promote the effectiveness of the sedative. Fluids and fiber prevent constipation. Coffee and tea contain caffeine, which could interfere with the drug's effectiveness.
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.
In addition to obtaining the client's vital signs, which of the following questions would be most appropriate to consider before administering a prescribed medication to a client for sedation?
- A. Is the drug being used in preparation for a surgical procedure?
- B. Is the timing of the drug administration correct?
- C. Has a consent form for the procedure been signed?
- D. Is the client experiencing discomfort related to pain?
- E. Are there disturbances in the environment that may keep the client awake?
Correct Answer: A,B,C
Rationale: In addition to obtaining the client's vital signs, the nurse should ask the following questions in preparation for a client to receive a prescribed sedative: Is the drug being used in preparation for a surgical procedure? Is the drug's administration correctly timed? Has a consent form for the procedure been signed before the medication is given?
A nurse would anticipate that a client receiving a sedative or hypnotic would experience an increased sedative effect if the client was also receiving which of the following?
- A. Antihistamines
- B. Phenothiazines
- C. Opioid analgesics
- D. NSAIDs
- E. Anticoagulants
Correct Answer: A,B,C
Rationale: An increased sedative effect occurs when sedatives or hypnotics are given with antihistamines, phenothiazines, and opioid analgesics.
In addition to obtaining the clients vital signs, which of the following questions should the nurse use to assess the clients status when the client is receiving temazepam for a sleep disturbance?
- A. Is the client uncomfortable?
- B. Is it too early for the client to receive the drug?
- C. Has a consent form been signed for the procedure?
- D. Does the client receive insulin to treat hyperglycemia?
- E. Are there disturbances in the environment that may keep the client awake?
Correct Answer: A,B,E
Rationale: In addition to obtaining the client's vital signs, the nurse should ask the following questions to assess the client's status when the client is receiving temazepam for a sleep disturbance: Is the client uncomfortable? Is it too early for the client to receive the drug? Are there disturbances in the environment that may keep the client awake? There is no need for a consent form to be signed. Asking about insulin use has no impact on the use of the drug.
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