Deck 13: Drugs Used for Sleep

Question 1

What can occur as a result of rapid withdrawal from long-term use of barbiturate therapy?

A) Anxiety
B) Delirium
C) Weakness
D) Grand mal seizures
E) Severe pain

Answer 1

Anxiety
Delirium
Weakness
Grand mal seizures

Question 2

Which disease is associated with insufficient sleep?

A) Cancer
B) Glaucoma
C) Myocardial infarction
D) Renal failure

Answer 2

Myocardial infarction

Question 3

A patient has been prescribed lorazepam (Ativan),a benzodiazepine used to treat insomnia.Which action will the nurse take?

A) Advise the patient to take the medication with food.
B) Assess the patient's blood pressure in sitting and lying positions.
C) Inform the patient to discontinue the medication once sleep improves.
D) Instruct the patient to lie down before taking the medication.

Answer 3

Assess the patient's blood pressure in sitting and lying positions.

Question 4

A patient receiving diazepam (Valium)is complaining of nausea and vomiting and is becoming jaundiced.Which type of blood work will be performed?

A) Renal function tests
B) Liver function tests
C) Clotting times
D) Electrolyte panels

Question 5

The nurse is assessing a patient who is being evaluated in an outpatient clinic for complaints of back pain.The patient reports taking diphenhydramine for insomnia related to job stress.Which statement by the nurse is accurate regarding this medication?

A) "This medication should only be taken for 1 week."
B) "This medication can cause nausea."
C) "The medication should not be taken after eating a high-fat meal."
D) "This is an herbal medication that has been used for hundreds of years."

Question 6

For what conditions are benzodiazepines prescribed?

A) Chronic amnesia
B) Chronic insomnia
C) Preoperative sedation
D) Psychotic episodes

Question 7

An older adult patient received a hypnotic agent at 9:00 PM.At 2:00 AM,the nurse discovers that the patient has removed her gown and is attempting to get out of bed without assistance.What type of medication effect is the patient exhibiting?

A) Allergic
B) Hypersensitivity
C) Paradoxical
D) Therapeutic

Question 8

The nurse finds that a patient is extremely agitated,yells frequently,and is attempting to get out of bed without assistance.What is the nurse's initial action?

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.

Question 9

Why are benzodiazepines often preferred over barbiturates?

A) They have selective action at specific receptor sites.
B) There is a wide range of safety between therapeutic and lethal levels.
C) REM sleep is decreased to a lesser extent.
D) Accidental overdoses are well tolerated.
E) There are no hypotensive episodes when rising to a sitting position.

Question 10

The nurse is assessing a patient prior to discharge from same day surgery following an incisional breast biopsy.When assessing the patient's central nervous system (CNS)function following sedative-hypnotic therapy,what will the nurse include?

A) Level of alertness
B) Orientation
C) Ability to perform motor functions
D) Blood pressure
E) Usual pattern of sleep

Question 11

Which two phases make up normal sleep?

A) Hypnagogic and hypnopompic
B) Rapid eye movement (REM) and non REM
C) Alpha and beta
D) Delta and theta

Question 12

Barbiturates have which common adverse effect(s)?

A) Residual daytime sedation
B) Headache
C) Hyperactivity
D) Blurred vision
E) Impaired coordination

Question 13

When reviewing a patient's history and physical information,the nurse notes that the patient has physician's orders for chloral hydrate and warfarin.During assessment of this patient,the nurse observes areas of petechiae and ecchymosis on the upper and lower extremities.The most appropriate lab work for the nurse to assess next is

A) liver function studies.
B) C-reactive protein.
C) sedimentation rate.
D) prothrombin time.

Question 14

The nurse is explaining the use of medications to a patient with insomnia.Which statement about sedatives is true?

A) A sedative will produce sleep.
B) Sedatives increase the total time in REM sleep.
C) Increased relaxation occurs with sedatives.
D) Sedatives are more potent than hypnotics.

Question 15

Which sleep pattern stage diminishes as an effect of aging?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 16

The nurse is caring for an older patient recently admitted to an assisted living center who is experiencing insomnia associated with the recent relocation.At bedtime,which nursing action will assist the patient to sleep?

A) Offering the patient hot tea
B) Encouraging the patient to ambulate in the hallway
C) Performing back massage
D) Administering an analgesic

Question 17

In addition to facilitating sleep,what is another benefit of sedatives?

A) Increased pain control postoperatively
B) Reduced bronchial secretions
C) Decreased patient anxiety
D) Increased patient alertness

Question 18

The nurse is administering Somnote to a patient.When providing medication education to the patient,the nurse will include that Somnote should be

A) thoroughly chewed.
B) taken with a full glass of water.
C) taken on an empty stomach.
D) taken only before bedtime.