Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 12

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Question #1
Which action would the nurse take after administering flumazenil to a patient for reversal of moderate sedation and the patient received a 0.2-mg dose over 15 seconds without a change in consciousness?
A.   Continue to monitor consciousness for 2 minutes.
B.   Provide another prescribed medication.
C.   Administer a second dose.
D.   Administer four doses at 15-second intervals.
Question #2
Which prescription will the nurse discuss with the health care provider to replace the benzodiazepine when a patient reports increased daytime sleepiness?
A.   Eszopiclone
B.   Zolpidem
C.   Ramelteon
D.   Zaleplon
Question #3
Which stage of sleep is third?
A.   Deep sleep
B.   Dozing
C.   Sleepwalking
D.   Relaxation
Question #4
Which is the characteristic feature of rapid eye movement (REM) rebound sleep?
A.   Vivid dreams
B.   Daytime fatigue
C.   Bedwetting
D.   Sleepwalking
Question #5
Phenobarbital is in which category of barbiturates?
A.   Intermediate-acting barbiturates
B.   Ultra-short-acting barbiturates
C.   Long-acting barbiturates
D.   Short-acting barbiturates
Question #6
Which condition is a contraindication for barbiturates?
A.   Cardiac disease
B.   Epileptic disease
C.   Narrow-angle glaucoma
D.   Drug allergy
Question #7
Why are muscle relaxants prescribed for patients with Huntington disease?
A.   Reduction of choreiform movement
B.   Relief of nerve pain
C.   Reduction of muscle rigidity
D.   Prevention of lightheadedness
Question #8
Which is a side effect of the nonbenzodiazepine drug zolpidem?
A.   Bedwetting
B.   Increased perspiration
C.   Increased body weight
D.   Sleepwalking
Question #9
Which medication is beneficial for reducing presurgery anxiety and decreasing the patient’s ability to remember an uncomfortable medical procedure?
A.   Ramelteon
B.   Midazolam
C.   Eszopiclone
D.   Alprazolam
Question #10
Which drug is the only muscle relaxant that acts directly on the skeletal muscle?
A.   Dantrolene
B.   Cyclobenzaprine
C.   Baclofen
D.   Diazepam
Question #11
Which side effect is most common for midazolam?
A.   Constipation
B.   Decreased heart rate
C.   Dry mouth
D.   Amnesia
Question #12
Which drug would the nurse expect the health care provider to prescribe to treat an overdose of a benzodiazepine?
A.   Verapamil
B.   Rifampin
C.   Olanzapine
D.   Flumazenil
Question #13
Which statement explains why diazepam would be administered to a patient who has symptoms of alcohol withdrawal?
A.   The drug acts on gamma-aminobutyric acid (GABA) receptors in the central nervous system (CNS).
B.   The patient may need to be sedated to relieve symptoms of alcohol withdrawal.
C.   The drug may reduce the memory of painful symptoms related to alcohol withdrawal.
D.   The drug acts on benzodiazepine receptors that play a role in alcohol addiction.
Question #14
Which central nervous system (CNS) depressant may also be used for treatment of hyperbilirubinemia in neonates?
A.   Oxytocin
B.   Ceftriaxone
C.   Sulfamethoxazole
D.   Phenobarbital
Question #15
Which barbiturate has a short duration of action?
A.   Pentobarbital
B.   Butabarbital
C.   Mephobarbital
D.   Phenobarbital
Question #16
Which condition is the result of a potential drug interaction between benzodiazepines and rifampin?
A.   Prolonged benzodiazepine action
B.   Increased daytime sleepiness
C.   Decreased benzodiazepine effects
D.   Increased central nervous system (CNS) depression
Question #17
Which drug is used as an antidote for overdose of oral benzodiazepine or excessive intravenous sedation?
A.   Activated charcoal
B.   Furosemide
C.   Olanzapine
D.   Flumazenil
Question #18
Which rationale explains why diazepam is used for the treatment and prevention of alcohol withdrawal symptoms?
A.   Presence of benzodiazepine receptors adjacent to the receptors responsible for alcohol addiction
B.   Suppression of gamma-aminobutyric acid (GABA) receptors
C.   Inhibition of nerve impulse transmission
D.   Amnesic properties
Question #19
Which nursing intervention may be particularly beneficial to an African American patient with insomnia?
A.   Encouraging the patient to maintain a well-balanced diet
B.   Recommending that the patient consume a glass of warm lactose-free milk at bedtime
C.   Teaching the patient about meditation
D.   Instructing the patient to take low doses of benzodiazepines
Question #20
Which prescription would the nurse discuss with the health care provider for a patient who takes midazolam with a very low blood pressure?
A.   Flumazenil at a maximum dose of 1 mg
B.   Flumazenil at a maximum dose of 3 mg
C.   Phenylephrine at a maximum dose of 5 mg
D.   Phenylephrine at a maximum dose of 2 mg
Question #21
For which reason would a patient receive activated charcoal via a nasogastric tube every 4 hours?
A.   The patient is experiencing a muscle-relaxant overdose.
B.   The patient is experiencing a barbiturate overdose.
C.   The patient was administered azole along with benzodiazepine.
D.   The patient is experiencing benzodiazepine toxicity.
Question #22
Which drug is contraindicated in patients with chronic obstructive pulmonary disease (COPD)?
A.   Diazepam
B.   Pentobarbital
C.   Zaleplon
D.   Ramelteon
Question #23
Which nonpharmacologic method would the nurse teach to a patient who reports unusual sleep patterns and lack of sleep to reset the patient’s internal clock?
A.   Establishing a set sleep pattern
B.   Sleeping more during the day
C.   Avoiding tobacco at bedtime
D.   Avoiding alcohol at bedtime
Question #24
Which benzodiazepine has rapid onset, is short acting, relieves anxiety, and provides sedation before and during procedures?
A.   Diazepam
B.   Temazepam
C.   Midazolam
D.   Flurazepam
Question #25
The nurse would monitor for which potential side effect in an older adult with insomnia who is prescribed a benzodiazepine?
A.   Alertness
B.   Hallucinations
C.   Ataxia
D.   Dyspnea
Question #26
Which medication can the nurse anticipate will be given for an overdose of a barbiturate?
A.   Naloxone
B.   Flumazenil
C.   Ipecac syrup
D.   Activated charcoal
Question #27
Which parameter determines whether a drug is classified as a sedative or hypnotic?
A.   Degree of patient responsiveness to the drug given
B.   Degree of inhibition of nerve impulse transmission to the CNS
C.   Dose of the drug used to produce the effect on the CNS
D.   Duration of action on the central nervous system (CNS)
Question #28
When teaching a patient about temazepam, the nurse advises the patient to take it 1 hour before going to bed. Which reason explains why the nurse would give this advice?
A.   The therapeutic activity of temazepam is reduced with sleep.
B.   Temazepam causes early awakening after sleep.
C.   Temazepam may cause gastrointestinal upset.
D.   Temazepam induces sleep in approximately 1 hour.
Question #29
Which event does the nurse suspect as the cause of swelling at the site of infusion of intravenous (IV) pentobarbital?
A.   Infusion that is too rapid
B.   Infusion of other drugs
C.   Intravenous infiltration
D.   Infusion without dilution
Question #30
Which nonpharmacologic intervention promotes comfort for an Asian patient who developed diarrhea after drinking warm milk before going to sleep?
A.   Take lower doses of benzodiazepines.
B.   Go to acupuncture therapy.
C.   Drink lactose-free milk at bedtime.
D.   Use home remedies of vegetables and herbs.
Question #31
Which medication is an example of nonbenzodiazepine drugs?
A.   Diazepam, Ramelteon, Midazolam
B.   Zolpidem, Diazepam, Midazolam
C.   Diazepam, Midazolam, Eszopiclone
D.   Zolpidem, Ramelteon, Eszopiclone
Question #32
Which intervention is a priority after a suspected overdose of barbiturates?
A.   Maintenance of an adequate airway
B.   Administration of furosemide
C.   Administration of activated charcoal
D.   Administration of intravenous fluids
Question #33
Which statement by a patient of Hispanic origin indicates the need for additional teaching?
A.   "I will stop drinking coffee at least 6 hours before bedtime."
B.   "I may be prescribed benzodiazepines to promote sleep."
C.   "I should avoid exercise just before going to bed."
D.   "I will have a glass of warm milk before bed."
Question #34
Which intervention by the nurse is most suitable for a patient taking oral contraceptives regularly and is prescribed pentobarbital for seizures by the health care provider?
A.   Request a prescription to increase the dosage of pentobarbital.
B.   Instruct the patient to increase the dosage of the contraceptive drug.
C.   Recommend discussing an alternative drug for seizures with the primary health care provider.
D.   Suggest an alternate contraceptive method to the patient.
Question #35
Which condition would the nurse expect if the patient’s chart notes the administration of dantrolene immediately postoperatively?
A.   Respiratory arrest
B.   Malignant hyperthermia
C.   Delirium tremens
D.   Tonic-clonic seizure
Question #36
Which information would the nurse include in patient teaching to help prevent the adverse effects of diazepam?
A.   Avoid using this drug to induce sleep.
B.   Take the drug 30 minutes before sleeping.
C.   Drink coffee or tea in the morning.
D.   Use the lowest effective dosage.
Question #37
  
A.   Produces drowsiness, lethargy, and blurred vision
B.   Causes gastrointestinal distress
C.   Impairs coordinated movements
D.   Increases pain associated with activities
Question #38
Which drug does the nurse expect to be used during a brief surgical procedure?
A.   Thiopental
B.   Phenobarbital
C.   Butabarbital
D.   Pentobarbital
Question #39
Which condition is a contraindication to the administration of barbiturates
A.   Pregnancy, Drug allergy, Significant respiratory difficulties
B.   Significant respiratory difficulties, Hypotension, Status epilepticus
C.   Hypotension, Drug allergy, Status epilepticus
D.   Hypotension, Status epilepticus, Pregnancy
Question #40
Which instruction would the nurse include in patient teaching regarding eszopiclone?
A.   "Report palpitations to the primary health care provider."
B.   "Allow at least 8 hours for sleep."
C.   "Take the medication with food or milk."
D.   "Expect and prepare for a daytime hangover."
Question #41
For which reason would a patient who is taking diazepam have prolonged sleep problems?
A.   Takes olanzapine along with diazepam
B.   Drinks grapefruit juice along with diazepam
C.   Takes phenobarbital along with diazepam
D.   Takes rifampin along with diazepam
Question #42
Which class of antidepressants would the nurse expect the health care provider to avoid when a patient has depression and is taking a barbiturate for epilepsy?
A.   Tricyclic antidepressant, Monoamine oxidase inhibitor (MAOI), Atypical antidepressants
B.   Selective serotonin reuptake inhibitor (SSRI), Tricyclic antidepressant, Serotonin-norepinephrine reuptake inhibitor (SNRI)
C.   Monoamine oxidase inhibitor (MAOI), Selective serotonin reuptake inhibitor (SSRI), Serotonin-norepinephrine reuptake inhibitor (SNRI)
D.   Selective serotonin reuptake inhibitor (SSRI), Serotonin-norepinephrine reuptake inhibitor (SNRI), Atypical antidepressants
Question #43
Which finding in a patient’s medical history record would lead a nurse to conclude that a patient should not take temazepam?
A.   Bronchial asthma
B.   Liver dysfunction
C.   Kidney dysfunction
D.   Narrow-angle glaucoma
Question #44
Which medication does the nurse expect the health care provider to prescribe for a patient with insomnia who takes verapamil for hypertension?
A.   Clonazepam
B.   Temazepam
C.   Eszopiclone
D.   Alprazolam
Question #45
Which medication in the prescription does the nurse question if a patient is allergic to aspirin?
A.   Pentobarbital
B.   Diazepam
C.   Baclofen
D.   Zaleplon
Question #46
Which nursing intervention would the nurse perform while caring for a teenage patient who is taking benzodiazepine therapy?
A.   Monitoring the patient’s renal and hepatic function
B.   Monitoring for suicidal tendencies
C.   Assessing the patient’s risk for injury or falls
D.   Encouraging the patient to drink more fluids
Question #47
Which priority action would the nurse implement when a patient has taken an excessive dose of baclofen?
A.   Airway maintenance
B.   Antidote preparation
C.   Comfort measures
D.   Seizure precautions
Question #48
Which preadministration assessment data are the nurse’s priority in the evaluation of adverse effects of therapy to cyclobenzaprine?
A.   Amount of bleeding
B.   Indicators of infection
C.   Muscle spasms
D.   Level of consciousness
Question #49
Which reason would explain why a patient becomes unconscious again after receiving flumazenil for an overdose of benzodiazepines after being conscious?
A.   0.2 mg (2 mL) of flumazenil was given intravenously (IV).
B.   The half-life of flumazenil is short.
C.   A high dose of flumazenil was given.
D.   Alcohol was consumed with the benzodiazepines.
Question #50
Which medication is contraindicated for a patient with narrow-angle glaucoma who is having difficulty sleeping?
A.   Zaleplon
B.   Alprazolam
C.   Eszopiclone
D.   Ramelteon
Question #51
Which statement would the nurse expect from a patient who is taking rifampin for tuberculosis and who has taken a newly prescribed benzodiazepine to induce sleep?
A.   "I often feel dizzy and lightheaded."
B.   "I feel like I breathe too deeply."
C.   "I sleep less than I used to."
D.   "Nowadays I sleep for long hours."
Question #52
How is flumazenil administered when treating a diazepam overdose?
A.   0.2 mg (2 mL) intravenously (IV) over 30 seconds
B.   0.2 mg (2 mL) IV over 15 seconds
C.   0.2 mg (2 mL) IV over 60 seconds
D.   0.5 mg (5 mL) IV over 30 seconds

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