Deck 16: Antianxiety,sedative,and Hypnotic Drugs

Question 1

The nurse would anticipate an order for which of the following benzodiazepines as part of an alcohol withdrawal program that uses drug therapy?

A) Bromazepam (Lectopam)
B) Chlordiazepoxide (Librium)
C) Halazepam (Paxipam)
D) Ketazolam (Loftran)

Answer 1

Chlordiazepoxide (Librium)

Question 2

Which nursing diagnosis is appropriate for a client who has received a sedative or hypnotic?

A) Impaired tissue perfusion
B) Excess fluid volume
C) Risk for injury
D) Risk for infection

Answer 2

Risk for injury

Question 3

A client who would benefit from drug therapy with benzodiazepines at times also takes opioid analgesics to manage exacerbations of chronic back pain.The nurse would be most concerned about which of the following adverse drug effects for this client?

A) Hallucinations
B) Excessive sedation
C) Nervousness
D) Increased back muscle spasms

Answer 3

Excessive sedation

Question 4

Which of the following does the nurse expect to occur when a client is sleeping?

A) Decreased metabolic rate
B) Increased carbon dioxide production
C) Increased body temperature
D) Accelerated oxygen consumption

Question 5

A client who has an order for chloral hydrate (Noctec)dislikes the taste of the elixir.The nurse should plan to prepare the dose by mixing it in which of the following beverages?

A) Decaffeinated tea
B) Warm broth
C) Chilled fruit juice
D) Water

Question 6

A client who cannot be roused after overdose with diazepam (Valium)requires administration of a drug to reverse sedation.Which of the following drugs does the nurse anticipate will be ordered?

A) Flumazenil (Romazicon)
B) Metronidazole (Flagyl)
C) Naloxone (Narcan)
D) Protamine sulfate

Question 7

The nurse should assess older adults who take long-acting sedatives or hypnotics for which of the following manifestations?

A) Hallucinations
B) Ataxia
C) Alertness
D) Dyspnea

Question 8

Which of the following beverages to aid in sleep would be most appropriate for the nurse to offer a client who prefers not to use medication?

A) Warm coffee
B) Black tea
C) Hot cocoa
D) Herbal tea

Question 9

Clients deprived of dreaming sleep are likely to exhibit which of the following?

A) Confidence and curiosity
B) Anorexia and weight loss
C) Confusion,suspicion,and withdrawal
D) Calmness,adaptability,and social integration

Question 10

Children often react with more sensitivity to central nervous system depressants.This may manifest in the development of which type of reaction?

A) Iatrogenic
B) Teratogenic
C) Paradoxic
D) Idiopathic

Question 11

What instructions can be given to the client who does not want to develop a dependence on sedatives or hypnotics?

A) Take the drug every other night and taper off when able
B) Stop taking the drug when falling asleep is no longer a problem
C) Sedatives and hypnotics are not addictive
D) Take the drug for at least 6 weeks before you stop taking it

Question 12

A client who began taking buspirone (BuSpar)as treatment for anxiety disorder reports to the nurse after 5 days that the drug does not seem to be helping his anxiety.The nurse would reinforce that the effects of the drug may not be fully experienced for how long?

A) 7 days
B) 10 to 14 days
C) 2 to 3 weeks
D) 3 to 6 weeks

Question 13

An older adult client has insomnia and is prescribed a drug to aid in falling asleep.The nurse would question an order for which drug based on a known adverse effect (hangover)related to the client's age?

A) Oxazepam (Serax)
B) Lorazepam (Ativan)
C) Flurazepam (Dalmane)
D) Diazepam (Valium)

Question 14

A nurse notes during an admission assessment that the client takes zolpidem (Ambien)at home.The nurse should question the client about a history of which of the following health problems?

A) Muscle spasms
B) Seizures
C) Insomnia
D) Anxiety disorder

Question 15

When explaining the purpose of a prescribed single-dose sedative agent to a client,the nurse would say that it does which of the following?

A) Reduces feelings of excessive anxiety,such as apprehension,fear,nervousness,worry,or panic
B) Reduces nervousness,excitability,or irritability by producing a calming or soothing effect
C) Induces sleep
D) Produces significant central nervous system depression resulting in anesthesia

Question 16

When administering a benzodiazepine for sleep,which of the following nursing actions is crucial?

A) Give the drug intramuscularly for longer duration
B) Assess all clients for paradoxical reactions
C) Evaluate each client immediately for physical dependence
D) Administer the benzodiazepine cautiously if the client is also taking central nervous system depressants

Question 17

Midazolam (Versed)is ordered for a client in the preoperative holding area.The nurse explains to the client that primary benefits of this medication will be which of the following?

A) Lowered blood pressure and pulse
B) Amnesia and decreased anxiety
C) Lowered anxiety level and increased blood pressure
D) Sleepiness and reduced agitation during local anesthesia injection

Question 18

A client with a history of substance abuse also has a generalized anxiety disorder.The nurse anticipates that which of the following drugs would be most effective for this client based on unique needs?

A) Diazepam (Valium)
B) Buspirone (BuSpar)
C) Chloral hydrate (Noctec)
D) Lorazepam (Ativan)

Question 19

Research has shown that older adults spend less time in which stage of sleep?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 20

A client has a diagnosis of anxiety associated with depression.The nurse anticipates that which of the following benzodiazepines is most likely to be ordered as part of overall management?

A) Alprazolam (Xanax)
B) Bromazepam (Lectopam)
C) Chlordiazepoxide (Librium)
D) Diazepam (Valium)