Nokea
After teaching a group of students about sedatives and hypnotics, the instructor determines that the teaching was successful when the students identify which of the following as an example of a benzodiazepine-type hypnotic and sedative drug?
- A. Temazepam
- B. Eszopiclone
- C. Secobarbital
- D. Triazolam
- E. Zaleplon
Correct Answer: A,D
Rationale: Temazepam and triazolam are examples of benzodiazepine-type hypnotic and sedative drugs.
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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 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.
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.
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 nurse suggests melatonin to a client traveling overseas on a 2-week business trip to help with jet lag. The nurse would alert the client to the possibility of which adverse reaction?
- A. Depression
- B. Hypotension
- C. Headache
- D. Dry mouth
- E. Constipation
Correct Answer: A,C
Rationale: The nurse should advise the client that headache, depression, and allergic reaction are possible adverse reactions that can occur with the use of melatonin.