Nokea
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.
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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.
A 14-year-old client with insomnia is prescribed estazolam. After administering the drug, the nurse would assess the client for which of the following as an adverse reaction?
- A. Muscle pain
- B. Chest pain
- C. Heartburn
- D. Taste change
Correct Answer: C
Rationale: One of the adverse reactions of estazolam is heartburn. Muscle pain is an adverse reaction of zolpidem tartrate. Chest pain and taste change are caused by eszopiclone.
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 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.
A client asks the nurse about using valerian to help him sleep. Which response by the nurse would be most appropriate?
- A. The herb is generally considered safe.
- B. You need to take it about 4 hours before bedtime.
- C. It might take 2 to 4 weeks before you notice the full benefit.
- D. You can combine it with other calming herbs.
- E. If you stop using it, you won't have any withdrawal symptoms.
Correct Answer: A,C,D
Rationale: Valerian is classified as 'generally recognized as safe' (GRAS) for use in the United States. When used as an aid to sleep, valerian is taken approximately 1 hour before bedtime. It can be used in combination with other calming herbs, such as lemon balm or chamomile. It may take 2 to 4 weeks before the full therapeutic effect (i.e., improvement of mood and sleep patterns) occurs. Individuals have been known to experience withdrawal symptoms when they stop taking valerian abruptly.