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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.
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The nurse should withhold the hypnotic drug if assessment reveals which of the following?
- A. Respiratory rate is below 10 breaths/min.
- B. Blood glucose is above 200 mg/dL.
- C. The client appears lethargic.
- D. Blood pressure drops significantly.
- E. The client is having trouble sleeping.
Correct Answer: A,C,D
Rationale: The nurse should hold the hypnotic drug if the respiratory rate is below 10 breaths/min, the client appears lethargic, or the blood pressure drops significantly. Difficulty sleeping is the indication for administering the drug. Blood glucose is unrelated to the use of hypnotics.
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 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 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.
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.