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In addition to obtaining the client's vital signs, which of the following questions would be most appropriate to consider before administering a prescribed medication to a client for sedation?
- A. Is the drug being used in preparation for a surgical procedure?
- B. Is the timing of the drug administration correct?
- C. Has a consent form for the procedure been signed?
- D. Is the client experiencing discomfort related to pain?
- E. Are there disturbances in the environment that may keep the client awake?
Correct Answer: A,B,C
Rationale: In addition to obtaining the client's vital signs, the nurse should ask the following questions in preparation for a client to receive a prescribed sedative: Is the drug being used in preparation for a surgical procedure? Is the drug's administration correctly timed? Has a consent form for the procedure been signed before the medication is given?
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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 would cautiously administer sedatives and hypnotics to clients with which of the following?
- A. Hepatic impairment
- B. Hypertension
- C. Renal impairment
- D. Mental health problems
- E. Habitual alcohol use
Correct Answer: A,C,D,E
Rationale: A nurse should use caution when administering sedatives and hypnotics to clients with hepatic or renal impairment, habitual alcohol use, and mental health problems and in clients who are lactating.
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.
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.
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.