Chapter 20: Sedatives and Hypnotics Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A client with insomnia is prescribed estazolam. After administering the drug, the nurse would assess the client for which potential adverse reaction? a. Constipation b. Syncope c. Heartburn d. Taste change Answer: C Rationale: Potential adverse reactions of estazolam can include heartburn, headache, nausea, palpitations, rash, somnolence, vomiting, weakness, and body and joint pain. Muscle pain is an adverse reaction of zolpidem tartrate. Chest pain and taste change are caused by eszopiclone. Constipation and syncope are potential adverse reactions to pentobarbital and secobarbital. Question Format: Multiple Choice Chapter: 20 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 249, Summary Drug Table 2. A client admitted for insomnia related to stress is prescribed a sedative. Which actions would the nurse include in the plan of care to promote the effectiveness of the drug? a. Encourage plenty of fluids. b. Provide back rubs. c. Offer fiber-rich food. d. Give the client coffee or tea. Answer: B Rationale: Back rubs are relaxing and help promote the effectiveness of the sedative. Fluids and fiber prevent constipation. Coffee and tea contain caffeine, which could interfere with the drug's effectiveness. Question Format: Multiple Choice Chapter: 20 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Basic Care and Comfort Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 247, Promoting an Optimal Response to Therapy 3. A client is prescribed flurazepam. When explaining the drug to the client, the nurse would include which actions as its effect? a. Decreased stress b. Easing of pain c. Induction of sleep d. Improvement in circulation Answer: C Rationale: Flurazepam induces sleep. Adrenergic drugs help to relieve stress. Analgesics are used to ease pain. Circulation can be improved by exercising. Question Format: Multiple Choice Chapter: 20 Learning Objective: 2 Cognitive Level: Understand Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 243, Introduction 4. A nursing instructor is teaching a group of students about sedatives and hypnotics. The instructor determines the class is successful when the students correctly choose which situation as necessitating cautious administration? a. Lactation b. Heart trouble c. Hypertension d. Gastrointestinal upset Answer: A Rationale: The nurse should exercise caution when administering sedatives and hypnotics to lactating clients. Sedatives and hypnotics are not contraindicated in clients with heart trouble, hypertension, or gastrointestinal problems, nor do they require cautious use. Question Format: Multiple Choice Chapter: 20 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 245, Precautions 5. A client admitted for chronic insomnia is prescribed eszopiclone. When teaching the client about this drug which factor should the nurse encourage the client to avoid while utilizing this drug? a. Strenuous work b. Alcohol consumption c. Tobacco use d. Direct sunlight Answer: B Rationale: The nurse should instruct the client to avoid alcohol during the period of eszopiclone therapy as alcohol interacts with eszopiclone to cause CNS depression. Strenuous work, use of tobacco, and exposure to sunlight are not of concern. Question Format: Multiple Choice Chapter: 20 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 248, Educating the Client and Family 6. A nurse emphasizes the need to avoid caffeine and caffeinated beverages with a client undergoing treatment for insomnia based on which known caffeine effect? a. Wakefulness b. Depression c. Delirium d. Restlessness