Nokea
Which of the following are examples of supportive care the nurse can provide to a client receiving a sedative or hypnotic drug to promote the effects of the drug?
- A. Darkening the client's room
- B. Discouraging caffeine intake
- C. Providing a quiet atmosphere
- D. Administering back rubs
- E. Waking the client to check consciousness
Correct Answer: A,B,C,D
Rationale: To promote the effects of the sedative or hypnotic drug, the nurse can provide supportive care, such as giving back rubs, using night lights or making the room dark, providing a quiet atmosphere, and discouraging caffeine use.
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A nurse is preparing to administer a sedative and hypnotic drug to a client. The nurse identifies the drug as a nonbenzodiazepine-type hypnotic and sedative drug. Which of the following might the nurse be preparing to administer?
- A. Temazepam
- B. Eszopiclone
- C. Zolpidem
- D. Triazolam
- E. Zaleplon
Correct Answer: B,C,E
Rationale: Eszopiclone, zolpidem, and zaleplon are examples of nonbenzodiazepine-type hypnotic and sedative drugs. Temazepam and triazolam are benzodiazepines.
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?
A nurse emphasizes the need to avoid caffeine and caffeinated beverages with a client undergoing treatment for insomnia based on the nurse's understanding that caffeine will most likely have which effect?
- A. Wakefulness
- B. Depression
- C. Delirium
- D. Restlessness
Correct Answer: A
Rationale: Clients with insomnia should not drink beverages containing caffeine because it can cause wakefulness. Caffeine does not causeexplains why avoiding caffeine is important for clients with insomnia, as it can counteract the sedative effects of medications, leading to wakefulness.
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 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.