C HAPTER 13: D RUGS U SED FOR S EDATION
AND S LEEP
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which action will the nurse take when a patient has been prescribed
lorazepam (Ativan)?
a. Advise the patient to take the medication with food.
b. Assess the patient ’s blood pressure in sitting and l ying position s.
c. Inform the patient to discontinue the medication once sleep
improves.
d. Instruct the patient to lie down before taking the medication.
ANS: B
Measuring blood pressure in sitting and lying positions is important to assess
for transient hypotension. At ivan does not have to be taken with food. Rapid
discontinuance of the medication after long -term use may result in symptoms
similar to those of alcohol withdrawal. Gradual withdrawal of
benzodiazepines is over 2 to 4 weeks. Medications should be taken sitt ing up.
DIF: Cognitive Level: Application REF: p. 196 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y | Health Promotion
2. Which disease is associated with insuffi cient sleep?
, a. Cancer
b. Glaucoma
c. M yocardial infarction
d. Renal failure
ANS: C
Individuals who sleep less than 5 hours a night have a threefold increased
risk of heart attacks. Cancer, glaucoma, and renal failure are not associated
with lack of sleep.
DIF: Cognitive Level: Knowledge REF: p. 192 OBJ: 1
NAT: NCLEX Client Needs Category: Health Promotion and
Maintenance
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Health Promotion
3. The nurse is caring for an older patient recentl y admitted to an assisted
living center who is experiencing insomnia associated with the recent
relocation. Which nursing action will assist the patient to sleep?
a. Offering the patient hot tea
b. Encouraging the patient to ambulate in the hallway
c. Performing back mass age
d. Administering an analgesic
ANS: C
Providing a back rub will promote relaxation and reduce anxiety associated
with a new environment. This would also provide an opportunity for the
nurse to encourage the patient to express feelings. The patient shou ld avoid
products containing caffeine, such as coffee, tea, soft drinks, and chocolate.
A quiet unwinding activit y before bedtime is helpful for sleep promotion.
Administering an analgesic is not an appropriate action.
AND S LEEP
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which action will the nurse take when a patient has been prescribed
lorazepam (Ativan)?
a. Advise the patient to take the medication with food.
b. Assess the patient ’s blood pressure in sitting and l ying position s.
c. Inform the patient to discontinue the medication once sleep
improves.
d. Instruct the patient to lie down before taking the medication.
ANS: B
Measuring blood pressure in sitting and lying positions is important to assess
for transient hypotension. At ivan does not have to be taken with food. Rapid
discontinuance of the medication after long -term use may result in symptoms
similar to those of alcohol withdrawal. Gradual withdrawal of
benzodiazepines is over 2 to 4 weeks. Medications should be taken sitt ing up.
DIF: Cognitive Level: Application REF: p. 196 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y | Health Promotion
2. Which disease is associated with insuffi cient sleep?
, a. Cancer
b. Glaucoma
c. M yocardial infarction
d. Renal failure
ANS: C
Individuals who sleep less than 5 hours a night have a threefold increased
risk of heart attacks. Cancer, glaucoma, and renal failure are not associated
with lack of sleep.
DIF: Cognitive Level: Knowledge REF: p. 192 OBJ: 1
NAT: NCLEX Client Needs Category: Health Promotion and
Maintenance
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Health Promotion
3. The nurse is caring for an older patient recentl y admitted to an assisted
living center who is experiencing insomnia associated with the recent
relocation. Which nursing action will assist the patient to sleep?
a. Offering the patient hot tea
b. Encouraging the patient to ambulate in the hallway
c. Performing back mass age
d. Administering an analgesic
ANS: C
Providing a back rub will promote relaxation and reduce anxiety associated
with a new environment. This would also provide an opportunity for the
nurse to encourage the patient to express feelings. The patient shou ld avoid
products containing caffeine, such as coffee, tea, soft drinks, and chocolate.
A quiet unwinding activit y before bedtime is helpful for sleep promotion.
Administering an analgesic is not an appropriate action.
