Test Bank for Pharmacology and The Nursing Process 10th Edition by Linda Lilley, Shelly Collins, Julie Snyder Chapters 11-15

Test Bank for Pharmacology and The Nursing Process 10th Edition by Linda Lilley, Shelly Collins, Julie Snyder Chapters 11-15 Contents Chapter 11: General and Local Anesthetics 2 Chapter 12: Central Nervous System Depressants and Muscle Relaxants 7 Chapter 13: Central Nervous System Stimulants and Related Drugs 13 Chapter 14: Antiepileptic Drugs 18 Chapter 15: Antiparkinson Drugs 24   Chapter 11: General and Local Anesthetics Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. During a fishing trip, a patient pierced his finger with a large fishhook. He is now in the emergency department to have it removed. The nurse anticipates that which type of anesthesia will be used for this procedure? a. No anesthesia b. Topical benzocaine spray on the area c. Topical prilocaine/lidocaine (EMLA) cream around the site d. Infiltration of the puncture wound with lidocaine ANS: D Infiltration anesthesia is commonly used for minor surgical procedures. It involves injecting the local anesthetic solution intradermally, subcutaneously, or submucosally across the path of nerves supplying the area to be anesthetized. The local anesthetic may be administered in a circular pattern around the operative field. The other types are not appropriate for this injury. This is a painful procedure; therefore, the option of ―no anesthesia‖ is incorrect. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. While monitoring a patient who had surgery under general anesthesia 1 hour ago, the nurse notes a sudden elevation in body temperature. This finding may be an indication of which problem? a. Tachyphylaxis Chapter 12: Central Nervous System Depressants and Muscle Relaxants Lilley: Pharmacology and the Nursing Process, 10th Edition MULTIPLE CHOICE 1. A patient who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation? a. Diazepam b. Zolpidem c. Phenobarbital d. Cyclobenzaprine ANS: A Benzodiazepines such as diazepam are used as anxiolytics, or sedatives. Zolpidem is used as a hypnotic for sleep. Phenobarbital is not used as an anxiolytic but is used for seizure control. Cyclobenzaprine is a muscle relaxant and is not used to reduce anxiety. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that ―the least little thing‖ bothers him now. Which is the correct explanation for this problem? a. These are adverse effects that usually subside after a few weeks. b. The drug must be stopped immediately because of possible adverse effects. c. This drug causes the rapid eye movement (REM) sleep period to increase, resulting in nightmares and restlessness. d. This drug causes deprivation of REM sleep and may cause the inability to deal with normal stress. ANS: D Barbiturates such as phenobarbital deprive people of REM sleep, which can result in agitation. Rebound phenomenon occurs when the drug is stopped (not during therapy), and the proportion of REM sleep increases, sometimes resulting in nightmares. The other options are incorrect.