Chapter 18 Nursing School Test Banks

 

1.

A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in her teaching plan for this patient? (Select all that apply.)

A)

The drug should not be used for longer than 1 month.

B)

It should be taken 1 hour before going to bed.

C)

The drug does not cause sleepiness in the morning.

D)

One of the most common adverse effects of the drug is headache.

E)

It is available in both quick-onset and continuous-release oral forms.

2.

A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?

A)

A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep

B)

A 20-year-old woman who will take the drug about once a week

C)

A 52-year-old woman who needs to fall asleep quickly and stay asleep all night

D)

A 46-year-old man who receives an antidepressant and needs a sleep aid

3.

A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that:

A)

She will report this to the physician immediately

B)

Obviously the drug is not going to work for her and the medication needs to be changed

C)

Optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment

D)

It may take up to 6 months for the drug to relieve her anxiety

4.

A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for:

A)

A diet high in fat

B)

A history of current or past alcohol use

C)

Current nicotine use

D)

A diet high in carbohydrates

5.

A truck driver is experiencing a generalized anxiety disorder (GAD). Lorazepam has been prescribed. The patient asked the nurse how this medication will affect his job. The nurse advised him to:

A)

Avoid driving until he is aware of the adverse effects.

B)

Change his profession, because the drug has long-term effects after cessation of therapy.

C)

Avoid driving at night, because lorazepam affects the wakesleep cycle and can lead to drowsiness.

D)

Drive only 2 hours after consuming the drug and stop when its time for the subsequent dose.

6.

A 28-year-old patient is to receive a large dose of lorazepam intravenously for sedation during a procedure. The nursing priority would be to assess for which of the following?

A)

Ataxia and confusion

B)

Respiratory disturbances and partial airway obstruction

C)

Seizures

D)

Leukopenia and diplopia

7.

A 70-year-old patient has just started taking lorazepam for anxiety issues related the loss of her husband. She is staying with her daughter for a couple of weeks. The patients daughter has noticed that her mother is having difficulty walking and seems to be confused at times and calls the clinic to report this to the nurse. The nurse will inform the daughter that:

A)

A dose adjustment should be made if these symptoms persist.

B)

The drug should be stopped immediately if these effects persist.

C)

The drug should be administered intravenously if these effects persist.

D)

No changes should be made at this time; the adverse effects will reduce with continued use.

8.

A 39-year-old patient who is having trouble sleeping is beginning drug treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking:

A)

Secobarbital (Seconal)

B)

Oxycodone (Percodan)

C)

Cimetidine (Zantac)

D)

Meperidine (Demerol)

9.

An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patients physician has determined that the drug is no longer needed. The nurse at the facility will plan to:

A)

Stop the drug immediately.

B)

Suggest that another anti-anxiety drug be prescribed to stop the craving for a benzodiazepine.

C)

Withdraw the drug gradually over a 2 to 3 week period.

D)

Observe for urticaria and rash.

10.

Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work?

A)

Alprazolam (Xanax)

B)

Buspirone (BuSpar)

C)

Diazepam (Valium)

D)

Lorazepam (Ativan)

Answer Key

1.

C, D, E

2.

A

3.

C

4.

B

5.

A

6.

B

7.

A

8.

C

9.

C

10.

B

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