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Chapter 11 Disorders of sleep and wakefulness and their treatment
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Chapter 11 Disorders of sleep and wakefulness and their treatment
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Chapter 11 Disorders of sleep and wakefulnessand their treatment
MULTIPLE CHOICE
1. The nurse finds that a patient is extremely agitated, yells frequently, and is
attempting to get out of bed without assistance. What is the nurses initial action?
a. Administer zolpidem after taking the patients vital signs.
b. Close the patients 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
Assessing the patients level of anxiety is important. The patient may only need
someone to listen to what stressors he or she is facing. The nurse must assess the
patient before medication can be administered.
2. 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
ANS: C
A paradoxical effect may occur in older adult patients. This includes periods of
excitement, confusion, restlessness, and euphoria. Allergies to medications tend to
manifest in skin or respiratory symptoms. A patient who is hypersensitive to a
hypnotic would be difficult to rouse. A therapeutic effect for a hypnotic would be
sedation.
3. For what conditions are benzodiazepines prescribed?
, a. Chronic amnesia
b. Chronic insomnia
c. Preoperative sedation
d. Psychotic episodes
ANS: 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. Benzodiazepines are not
recommended for long term use and do not affect amnesia. Benzodiazepines are a
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