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