Nokea
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.
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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.
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 admitted to a local health care facility for chronic insomnia. The primary health care provider prescribes eszopiclone. Which of the following would the nurse encourage the client to avoid when teaching the client about this drug?
- A. Strenuous work
- B. Alcohol consumption
- C. Tobacco use
- D. Direct sunlight
Correct Answer: B
Rationale: The nurse should instruct the client to avoid alcohol during the period of eszopiclone therapy as alcohol interacts with eszopiclone to cause CNS depression. Strenuous work, use of tobacco, and exposure to sunlight are not of concern.
Which nursing diagnosis would most likely be a priority for a client receiving a hypnotic who is experiencing confusion and excessive drowsiness in the morning?
- A. Ineffective Breathing Pattern
- B. Risk for Injury
- C. Ineffective Coping
- D. Impaired Self Health Management
Correct Answer: B
Rationale: Confusion and excessive morning drowsiness would impact the client's ability to function safely, thereby placing the client at risk for injury. Ineffective Breathing Pattern would be appropriate if the client experienced respiratory depression. Ineffective Coping would be appropriate if more than short-term use of the agent would be required. Impaired Self Health Management would be appropriate if the client was unable to comply with or adhere to the prescribed medication regimen.
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.