NUR 231 Week 2 Ch. 12 Review Questions and Correct Answers
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NUR 231
When reviewing actions of drugs, the nurse recognizes that a hypnotic is a drug that performs which action? a. Produces sleep b. Stops seizures c. Prevents nausea and vomiting d. Relieves pain A
A patient who has been taking a benzodiazepine for 5 weeks has been instructed to stop the medication. ...
a patient who has been taking a benzodiazepine for
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NUR 231 Week 2 Ch. 12 Review
Questions and Correct Answers
When reviewing actions of drugs, the nurse recognizes that a hypnotic is a drug that
performs which action?
a. Produces sleep
b. Stops seizures
c. Prevents nausea and vomiting
d. Relieves pain ✅A
A patient who has been taking a benzodiazepine for 5 weeks has been instructed to
stop the medication. Which instruction will the nurse provide to the patient on how to
discontinue the medication?
a. Stop taking the drug immediately
b. Plan a gradual reduction in dosage.
c. Overlap this medication with another drug.
d. Take the medication every other day for a number of weeks. ✅B
A patient will be undergoing a brief surgical procedure to obtain a biopsy from a
superficial mass on his arm. the nurse expects that which type of barbiturate will be
used at this time?
a. Ultrashort
b. Short
c. Intermediate
d. Long ✅A
While monitoring a patient who took an OD of barbiturates, the nurse keeps in mind that
a potential cause of death would be which of these?
a. Tachycardia
b. Hypertension
c. Dyspnea
d. Respiratory arrest ✅D
A patient with back muscle spasms is being treated with a skeletal muscle relaxant. To
ensure that these drugs are most effective, the nurse will make sure what other
treatment is ordered?
a. Benzodiazepines
b. Moist heat
c. Physical therapy
d. Asprin ✅C
The nurse is providing care for a patient who has accidentally taken an OD of
benzodiazepines. Which drug would be used to treat this patient?
a. Methamphetamine
, b. Flumazenil
c. Epinephrine
d. Naloxone ✅B
Which drug represents the only drug that acts directly on skeletal muscle?
a. Diazepam
b. Dantrolene
c. Baclofen
d. Methocarbamol ✅B
In which time frame should the nurse the nurse expect the greatest risk for hypotension
after administration of muscle relaxants?
a. 10 minutes after administration
b. 60 minutes after administration
c. 2 hours after administration
d. 4 hours after administration ✅B
A patient will be receiving the barbiturate phenobarbital as part of treatment for
seizures. The nurse assesses the patient's current list of medications. Which
medications are known to cause interactions with barbiturates. (Select all that apply)
a. Benzodiazepines
b. Proton pump inhibitors
c. Oral contraceptives
d. Anticoagulants
e. MAOIs ✅A, C, D, E
A 19-year-old college freshman is brought into the ED with suspected barbiturate OD.
What symptoms would you expect to see? How is OD treated? ✅Barbiturate
overdoses can cause CNS depression that could lead from sleep, to coma and death.
Patient's may develop respiratory depression, specifically Cheyne-Stokes respirations,
hypoventilation, and cyanosis. The patient's skin may be cold and clammy or become
hypothermic. Later, they can exhibit fever, areflexia, tachycardia, and hypotension. The
priority should be ABC's because there is no antidote for barbiturate OD.
Jackie is taking benzodiazepines to treat her insomnia. Today she visits your clinic and
states that she is going to Europe for 2 months and wants a prescription that will allow
her to take enough medication along for her entire stay. The physician declines. Jackie
is a little insulted and asks you why the physician refused her request. "Does my doctor
think I'm an addict or something? " What do you explain to her? what other options are
possible for her? ✅Benzodiazepines may be used for insomnia short-term (2-4
weeks). If taken longer, rebound insomnia and withdrawal can occur. It may be more
appropriate for Jackie to take a nonbenzodiazepine hypnotic to treat her insomnia as
well as provide resources for nonpharmacological sleep aids.
Mrs. A., who is 81 years of age, weighs significantly more than her 47-year-old
daughter, yet she is given a lower dosage of a benzodiazepine for insomnia of a similar
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