C HAPTER 12: C ENTRAL N ERVOUS S YSTEM
D EPRESSANTS AND M USCLE R ELAXANTS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient is taking flurazepam three to four nights a week for
sleeplessness. She is concerned that she cannot get to sleep without taking
the medication. What nonpharmacologic measures should the nurse
suggest to promote sleep for this patient?
a. Providing a quiet environment
b. Exercising before bedtime to become tired
c. Consuming heavy meals in the evening to promote sleepiness
d. Drinking hot tea or coffee just before bedtime
ANS: A
Nonpharmacologic approaches to induce sleep include providing a
quiet environment, avoiding heavy ex ercise before bedtime, avoiding
heavy meals late in the evening, and drinking warm decaffeinated
drinks, such as warm milk, before bedtime.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and Comfort
2. A patient is brought to the emergency department for treatment of a
suspected overdose. The patient was found with an empt y prescription
, bottle of a barbiturate by his bedside. He is lethargic and barely breathing.
The nurse would expect which immediate intervention?
a. Starting an intravenous infusion of diluted bicarbonate solution
b. Administering medications to increase blood pressure
c. Implementing measures to maintain the airway and support
respirations
d. Administrating naloxone (Narc an) as an antagonist
ANS: C
There are no antagonists/antidotes for barbiturates. Treatment supports
respirations and maintains the airway. The other interventions are not
appropriate.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Impl ementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. Ramelteon is prescribed for a patient with insomnia. The nurse checks the
patient’s medical history, knowing that this medication is contraindicated
in which disorder?
a. Coronary artery disease
b. Renal insufficiency
c. Liver disease
d. Anemia
ANS: C
Ramelteon is contraindicated in cases of severe liver dysfunction. The
other conditions are not contraindications.
DIF: Cognitive Level: Understanding (Comprehension)
D EPRESSANTS AND M USCLE R ELAXANTS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient is taking flurazepam three to four nights a week for
sleeplessness. She is concerned that she cannot get to sleep without taking
the medication. What nonpharmacologic measures should the nurse
suggest to promote sleep for this patient?
a. Providing a quiet environment
b. Exercising before bedtime to become tired
c. Consuming heavy meals in the evening to promote sleepiness
d. Drinking hot tea or coffee just before bedtime
ANS: A
Nonpharmacologic approaches to induce sleep include providing a
quiet environment, avoiding heavy ex ercise before bedtime, avoiding
heavy meals late in the evening, and drinking warm decaffeinated
drinks, such as warm milk, before bedtime.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and Comfort
2. A patient is brought to the emergency department for treatment of a
suspected overdose. The patient was found with an empt y prescription
, bottle of a barbiturate by his bedside. He is lethargic and barely breathing.
The nurse would expect which immediate intervention?
a. Starting an intravenous infusion of diluted bicarbonate solution
b. Administering medications to increase blood pressure
c. Implementing measures to maintain the airway and support
respirations
d. Administrating naloxone (Narc an) as an antagonist
ANS: C
There are no antagonists/antidotes for barbiturates. Treatment supports
respirations and maintains the airway. The other interventions are not
appropriate.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Impl ementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. Ramelteon is prescribed for a patient with insomnia. The nurse checks the
patient’s medical history, knowing that this medication is contraindicated
in which disorder?
a. Coronary artery disease
b. Renal insufficiency
c. Liver disease
d. Anemia
ANS: C
Ramelteon is contraindicated in cases of severe liver dysfunction. The
other conditions are not contraindications.
DIF: Cognitive Level: Understanding (Comprehension)
