NUR 308 Chapter 18 Test Questions and Correct Answers
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Course
NUR 308
Institution
NUR 308
It is important for the nurse teaching the patient regarding secobarbital to include which information about the drug? A. it is a short-acting drug that may cause one to awaken early in the morning B. It is an intermediate-acting drug that frequently causes rapid eye movement rebound C. it is an in...
NUR 308 Chapter 18 Test Questions and
Correct Answers
It is important for the nurse teaching the patient regarding secobarbital to include which
information about the drug?
A. it is a short-acting drug that may cause one to awaken early in the morning
B. It is an intermediate-acting drug that frequently causes rapid eye movement rebound
C. it is an intermediate-acting drug that frequently causes a hangover effect
D. It is a long-acting drug that is frequently associated with dependence ✅A. it is a
short-acting drug that may cause one to awaken early in the morning
A patient taking lorazepam asks the nurse how this drug works. The nurse should
respond by stating that it is a benzodiazepine that acts by which mechanism?
A. Depressing the central nervous system, leading to a loss of consciousness
B. Depressing the central nervous system, including the motor and sensory activity
C. Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid
(GABA) to GABA receptors
D. Creating an epidural block by placement of the local anesthetic into the epidural
space ✅C. Increasing the action of the inhibitory neurotransmitter gamma-
aminobutyric acid (GABA) to GABA receptors
A patient is taking ramelteon for insomnia. The nurse prepares a care plan that includes
monitoring of the patient for side effects/adverse reactions of this drug. Which is a side
effect of ramelteon?
A. insomnia
B. bradycardia
C. laryngospasm
D. sleep-related behaviors ✅B. bradycardia
A patient received spinal anesthesia. Which is most important for the nurse to monitor?
A.loss of consciousness
B. hangover effects and dependence
C. hypotension and headaches
D. excitement or delirium ✅C. hypotension and headaches
A nurse is teaching a patient about zolpidem. Which is important for the nurse to include
in the teaching of this drug?
A. the maximum dose is 20 mg/day
B. It is used for short-term treatment less than 10 days
C. For older adults, the dose is 15 mg at bedtime
D. The drug should only be used for 21 days or less ✅B. It is used for short-term
treatment less than 10 days
, A patient is taking triazolam. Which instructions about this drug are important for the
nurse to include?
A. it may be used as a barbiturate for only 4 weeks
B. Use as a nonbenzodiazepine to reduce anxiety
C. It may cause agranulocytosis and thrombocytopenia
D. Avoid alcohol and smoking while taking this drug ✅D. Avoid alcohol and smoking
while taking this drug
A patient is to receive conscious sedation for a minor surgical procedure. Which drug
administration should the nurse expect? Select all that apply.
A. propofol to reduce anxiety
B. lidocaine to provide local anesthetic
C. Midazolam to promote sedation and following of commands
D. Ketamine for rapid induction and prolonged duration of action
E. Phenobarbital for short-acting duration of sleep ✅A, B, C
What is the most commonly prescribed medication to aid patients with sleep disorders?
A. analeptic
B. anesthetic
C. sedative-hypnotic
D. triptan ✅C. sedative-hypnotic
The patient has been diagnosed with a seizure disorder. The nurse knows that which
drugs may be prescribed to control seizures?
A. Intermediate-acting barbiturates
B. Long-acting barbiturates
C. Short-acting barbiturates
D. Ultra-short-acting barbiturates ✅B. Long-acting barbiturates
A patient returns to the unit after having surgery with spinal anesthesia. What does the
nurse know is/are the best action(s) to take to decrease possibility of spinal headache?
Select all that apply.
A. administer morphine 1 to 2 mg IV
B. ambulate the patient as soon as she gets feeling back
C. Encourage the patient to stay flat in bed
D. Increase fluid intake
E. Position the patient in high-fowler's position ✅C, D
The 61-year-old patient will be receiving spinal anesthesia for surgery. She states, "Why
do i have to sit a certain way? Why can't I just be comfortable?" What is the nurse's best
response?
A. "It is easier for the anesthesiologist if you sit this way."
B. "Because of your age, you have to sit straight up"
C. "The anesthesia is injected in a specific area so it distributes evenly."
D. "You can sit however you like." ✅C. "The anesthesia is injected in a specific area so
it distributes evenly."
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