Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
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Chapter 14: Sedative-Hypnotics
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | Administer zolpidem after taking the patient’s vital signs. |
| B. | Close the patient’s door for privacy after administering Tylenol. |
| C. | Administer benzodiazepine before calling the health care provider. |
| D. | Spend uninterrupted time listening to the patient. |
ANS: D
| Feedback | |
| A | The nurse must assess the patient before medication can be administered. |
| B | The nurse must assess the patient before medication can be administered. |
| C | The nurse must assess the patient before medication can be administered. |
| D | Assessing the patient’s level of anxiety is important. The patient may only need someone to listen to what stressors he or she is facing. |
DIF: Cognitive Level: Analysis REF: 212
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Allergic |
| B. | Hypersensitivity |
| C. | Paradoxical |
| D. | Therapeutic |
ANS: C
| Feedback | |
| A | Allergies to medications tend to manifest in skin or respiratory symptoms. |
| B | A patient who is hypersensitive to a hypnotic would be difficult to rouse. |
| C | A paradoxical effect may occur in older adult patients. This includes periods of excitement, confusion, restlessness, and euphoria. |
| D | A therapeutic effect for a hypnotic would be sedation. |
DIF: Cognitive Level: Application REF: 215
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Chronic amnesia |
| B. | Chronic insomnia |
| C. | Preoperative sedation |
| D. | Psychotic episodes |
ANS: C
| Feedback | |
| A | Benzodiazepines are not recommended for long-term use and do not affect amnesia. |
| B | Benzodiazepines are a poor choice for the treatment of chronic insomnia because of their risk for habituation. |
| C | The sedative-hypnotic effect of benzodiazepines facilitates surgical sedation. Short-acting benzodiazepines are administered intramuscularly for preoperative sedation. They are also given intravenously for conscious sedation before short diagnostic procedures or for the induction of general anesthesia. |
| D | Benzodiazepines do not have an antipsychotic effect. |
DIF: Cognitive Level: Knowledge REF: 216
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Renal function tests |
| B. | Liver function tests |
| C. | Clotting times |
| D. | Electrolyte panels |
ANS: B
| Feedback | |
| A | Benzodiazepines do not affect the kidneys. |
| B | Liver function tests will be performed because nausea, vomiting, and jaundice can be indicative of hepatotoxicity. Abnormal liver function test results (i.e., elevated bilirubin, aspartate transaminase [AST], alanine transaminase [ALT], gamma glutamyl transferase [GGT], and alkaline phosphatase levels, and prothrombin time) are indicative of hepatotoxicity. |
| C | Benzodiazepines do not affect clotting times. |
| D | Benzodiazepines do not affect electrolytes. |
DIF: Cognitive Level: Application REF: 218
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
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