Nokea
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.
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Before administering a sedative or hypnotic to a client, the nurse would assess which of the following?
- A. Blood pressure
- B. Pulse
- C. Oxygen saturation level
- D. Respiratory rate
- E. Temperature
Correct Answer: A,B,D
Rationale: The nurse's preadministration assessment for a client receiving a sedative or hypnotic should include blood pressure, pulse, and respiratory rate.
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.
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.
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 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.