Nokea
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.
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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.
Which nursing diagnosis would most likely be a priority for a client receiving a hypnotic who is experiencing confusion and excessive drowsiness in the morning?
- A. Ineffective Breathing Pattern
- B. Risk for Injury
- C. Ineffective Coping
- D. Impaired Self Health Management
Correct Answer: B
Rationale: Confusion and excessive morning drowsiness would impact the client's ability to function safely, thereby placing the client at risk for injury. Ineffective Breathing Pattern would be appropriate if the client experienced respiratory depression. Ineffective Coping would be appropriate if more than short-term use of the agent would be required. Impaired Self Health Management would be appropriate if the client was unable to comply with or adhere to the prescribed medication regimen.
After teaching a group of nursing students about sedatives and hypnotics, the instructor determines that additional teaching is needed when the students identify the absorption of which drug as being affected by a high Vat high-fat meal?
- A. Zolpidem
- B. Eszopiclone
- C. Ramelteon
- D. Zaleplon
Correct Answer: A
Rationale: Zolpidem should not be taken with food. A high-fat meal or snack can interfere with the absorption of eszopiclone, ramelteon, and zaleplon.
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.
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.