BMS 620 Drugs Relieving Anxiety and Promoting Sleep Grade Aplus

BMS 620 Drugs Relieving Anxiety and Promoting Sleep Grade BMS 620 Drugs Relieving Anxiety and Promoting Sleep Grade Aplus 1. A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a 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 to 90 minutes 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) 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 has been diagnosed with a generalized anxiety disorder (GAD) and 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 wakeñsleep cycle and can lead to drowsiness. D) drive only 2 hours after consuming the drug and stop when it's time for the subsequent dose. 6. A 28-year-old patient is to receive a 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 10 days ago for anxiety issues related the death of her husband. She is staying with her daughter for a couple of weeks. The patient's 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 resolve 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 patient's 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) 11. At the prompting of her husband, a woman made an appointment with her primary care provider to discuss her debilitating worry and stress that seem to transcend her circumstances. She was subsequently diagnosed with an anxiety disorder based primarily on her A) combination of psychological and physiological signs and symptoms. B) failure to identify the specific cause of her stress. C) excessive and irrational fear and dread. D) lack of insight into her worrying . 12. A 59-year-old woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over benzodiazepines in the treatment of anxiety? A) SSRIs generally have fewer adverse effects. B) SSRIs have a more rapid therapeutic effect. C) SSRIs do not require serial blood tests during therapy. D) SSRIs require administration once per week, versus daily or twice daily with benzodiazepines. 13. A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by A) increasing the effects of the neurotransmitter GABA. B) inhibiting the action of monoamine oxidase. C) affecting the regulation of serotonin and norepinephrine in the brain. D) increasing the amount of serotonin available in the synapses. 14. Medication reconciliation of an 82-year-old man who has recently moved to a long-term care facility reveals that the man takes 1 to 2 mg of lorazepam bid prn. The nurse should recognize what consequence of this aspect of the resident's drug regimen? A) Cold intolerance B) Increased risk for falls C) Risk for paradoxical aggression D) Anorexia 15. A woman who travels extensively for her job has been prescribed triazolam (Halcion) as a sleep aide. During patient teaching, what information should the nurse prioritize? A) ìTo avoid becoming dependent on this drug, you should only take it every other night.î B) ìHaving one to two alcoholic drinks each evening can make Halcion more effective.î C) ìYou need to plan your bedtime carefully, because you should take this drug 1 to 2 hours before you want to sleep.î D) ìIf you stop taking this drug suddenly, you might find that your insomnia is worse than ever.î