Pharmacology Chapter 21 NCLEX Study Questions

A nurse is teaching a patient about zolpidem. Which is important for the nurse to included in the teaching of this drug? - A: The maximum dose is 20 mg/d. B: It may lead to psychological dependence C: For older adults, the dose is 15 mg at bedtime D: The drug should only be used for 21 days or less A patient is taking triazolam (Halcion). Which instructions about this drug are important for the nurse to include? – A: It may be used as a barbiturate for only 4 weeks B: Use as a nonbenzodiazepine to reduce anxiety C: This drug does not lead to vivid dreams or nightmares D: Avoid alcohol and smoking while taking this drug. D A patient is taking zolpidem (Ambien) for insomnia. The nurse prepares a care plan that includes monitoring of the patient for side effects/adverse reactions of this drug. Which is a side effect of zolpidem? - A: Insomnia B: Headache C: Laryngospasm D: Blood dyscrasias B A patient is to receive conscious sedation for a minor surgical procedure. Which drug administration should the nurse expect? (select all that apply) - A: Propofol (Diprivan) to sustain natural sleep B: Lidocaine (Xylocaine) to prove local anesthesia C: Midazolam (Versed) to promote sedation and following of commands D: Ketamine (Ketalar) for rapid induction and prolonged duration of action E: Phenobarbital (Luminal) for short acting duration of sleep A & C A patient received spinal anesthesia. Which is most important for the nurse to monitor? - A: Loss of consciousness B: Hangover effects and dependence C: Hypotension and headaches D: Excitement or delirium C A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? (Select all that apply) A) Administer morphine 1 to 2 mg IV B) Ambulate the patient as soon as she gets feeling back C) Encourage the patient to stay flat in bed D) Increase fluid intake