Nokea
Ramelteon is prescribed for a patient with insomnia. The nurse checks the patient's medical history, knowing that this medication is contraindicated in which disorder?
- A. Coronary artery disease
- B. Renal insufficiency
- C. Liver disease
- D. Anemia
Correct Answer: C
Rationale: Ramelteon is contraindicated in cases of severe liver dysfunction. The other conditions are not contraindications.
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The nurse notes in the patient's medication history that the patient is taking cyclobenzaprine. Based on this finding, the nurse interprets that the patient has which disorder?
- A. A musculoskeletal injury
- B. Insomnia
- C. Epilepsy
- D. Agitation
Correct Answer: A
Rationale: Cyclobenzaprine is the muscle relaxant most commonly used to reduce spasms following musculoskeletal injuries. It is not appropriate for insomnia, epilepsy, or agitation.
A patient tells the nurse that he likes to drink kava herbal tea to help him relax. Which statement by the patient indicates that additional teaching about this herbal product is needed?
- A. I will not drink wine with the kava tea.
- B. If I notice my skin turning yellow, I will stop taking the tea.
- C. I will not take sleeping pills if I have this tea in the evening.
- D. I will be able to drive my car after drinking this tea.
Correct Answer: D
Rationale: Patients should not drive after drinking this tea because it may cause sedation. Kava tea may cause skin discoloration (with long-term use). In addition, it must not be taken with alcohol, barbiturates, and psychoactive drugs.
A patient is brought to the emergency department for treatment of a suspected overdose. The patient was found with an empty prescription bottle of a barbiturate by his bedside. He is lethargic and barely breathing. The nurse would expect which immediate intervention?
- A. Starting an intravenous infusion of diluted bicarbonate solution
- B. Administering medications to increase blood pressure
- C. Implementing measures to maintain the airway and support respirations
- D. Administering naloxone (Narcan) as an antagonist
Correct Answer: C
Rationale: There are no antagonists/antidotes for barbiturates. Treatment supports respirations and maintains the airway. The other interventions are not appropriate.
A patient has been taking suvorexant for intermittent insomnia. She calls the nurse to say that when she takes it, she sleeps well, but the next day she feels - so tired I Which explanation by the nurse is correct?
- A. Long-term use of this drug results in a sedative effect.
- B. If you take the drug every night, this hangover effect will be reduced.
- C. These drugs affect the sleep cycle, resulting in daytime sleepiness.
- D. These drugs increase the activity of the central nervous system, making you tired the next day.
Correct Answer: C
Rationale: Use of suvorexant results in daytime sleepiness. The other statements are incorrect.
A patient who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?
- A. Diazepam
- B. Zolpidem
- C. Phenobarbital
- D. Cyclobenzaprine
Correct Answer: A
Rationale: Benzodiazepines such as diazepam are used as anxiolytics, or sedatives. Zolpidem is used as a hypnotic for sleep. Phenobarbital is not used as an anxiolytic but is used for seizure control. Cyclobenzaprine is a muscle relaxant and is not used to reduce anxiety.