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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.
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A client is prescribed flurazepam. When explaining the drug to the client, the nurse would include which of the following as its effect?
- A. Decreased stress
- B. Easing of pain
- C. Induction of sleep
- D. Improvement in circulation
Correct Answer: C
Rationale: Flurazepam induces sleep. Adrenergic drugs help to relieve stress. Analgesics are used to ease pain. Circulation can be improved by exercising.
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 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.
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.