Mastery EAQ Ch. 12

A  0.2 mg (2 mL) intravenously (IV) over 30 seconds

B  0.2 mg (2 mL) IV over 15 seconds

C  0.2 mg (2 mL) IV over 60 seconds

D  0.5 mg (5 mL) IV over 30 seconds

A  “I feel like I breathe too deeply.”

B  “Nowadays I sleep for long hours.”

C  “I often feel dizzy and lightheaded.”

D  “I sleep less than I used to.”

A  Alprazolam

B  Zaleplon

C  Ramelteon

D  Eszopiclone

A  0.2 mg (2 mL) of flumazenil was given intravenously (IV).

B  Alcohol was consumed with the benzodiazepines.

C  The half-life of flumazenil is short.

D  A high dose of flumazenil was given.

A  Amount of bleeding

B  Level of consciousness

C  Indicators of infection

D  Muscle spasms

A  Comfort measures

B  Antidote preparation

C  Airway maintenance

D  Seizure precautions

A  Assessing the patient’s risk for injury or falls

B  Monitoring the patient’s renal and hepatic function

C  Encouraging the patient to drink more fluids

D  Monitoring for suicidal tendencies

A  Pentobarbital

B  Diazepam

C  Baclofen

D  Zaleplon

A  Alprazolam

B  Temazepam

C  Eszopiclone

D  Clonazepam

A  Liver dysfunction

B  Kidney dysfunction

C  Bronchial asthma

D  Narrow-angle glaucoma

A  Monoamine oxidase inhibitor (MAOI), Selective serotonin reuptake inhibitor (SSRI), Serotonin-norepinephrine reuptake inhibitor (SNRI)

B  Selective serotonin reuptake inhibitor (SSRI), Tricyclic antidepressant, Serotonin-norepinephrine reuptake inhibitor (SNRI)

C  Selective serotonin reuptake inhibitor (SSRI), Serotonin-norepinephrine reuptake inhibitor (SNRI), Atypical antidepressants

D  Tricyclic antidepressant, Monoamine oxidase inhibitor (MAOI), Atypical antidepressants

A  Takes rifampin along with diazepam

B  Drinks grapefruit juice along with diazepam

C  Takes phenobarbital along with diazepam

D  Takes olanzapine along with diazepam

A  “Expect and prepare for a daytime hangover.”

B  “Report palpitations to the primary health care provider.”

C  “Take the medication with food or milk.”

D  “Allow at least 8 hours for sleep.”

A  Hypotension, Status epilepticus, Pregnancy

B  Significant respiratory difficulties, Hypotension, Status epilepticus

C  Hypotension, Drug allergy, Status epilepticus

D  Pregnancy, Drug allergy, Significant respiratory difficulties

A  Phenobarbital

B  Thiopental

C  Pentobarbital

D  Butabarbital

A  Causes gastrointestinal distress

B  Impairs coordinated movements

C  Produces drowsiness, lethargy, and blurred vision

D  Increases pain associated with activities

A  Drink coffee or tea in the morning.

B  Use the lowest effective dosage.

C  Avoid using this drug to induce sleep.

D  Take the drug 30 minutes before sleeping.

A  Tonic-clonic seizure

B  Delirium tremens

C  Respiratory arrest

D  Malignant hyperthermia

A  Suggest an alternate contraceptive method to the patient.

B  Recommend discussing an alternative drug for seizures with the primary health care provider.

C  Request a prescription to increase the dosage of pentobarbital.

D  Instruct the patient to increase the dosage of the contraceptive drug.

A  “I may be prescribed benzodiazepines to promote sleep.”

B  “I will have a glass of warm milk before bed.”

C  “I will stop drinking coffee at least 6 hours before bedtime.”

D  “I should avoid exercise just before going to bed.”

A  Administration of intravenous fluids

B  Maintenance of an adequate airway

C  Administration of activated charcoal

D  Administration of furosemide

A  Diazepam, Midazolam, Eszopiclone

B  Diazepam, Ramelteon, Midazolam

C  Zolpidem, Diazepam, Midazolam

D  Zolpidem, Ramelteon, Eszopiclone

A  Use home remedies of vegetables and herbs.

B  Take lower doses of benzodiazepines.

C  Drink lactose-free milk at bedtime.

D  Go to acupuncture therapy.

A  Infusion of other drugs

B  Intravenous infiltration

C  Infusion without dilution

D  Infusion that is too rapid

A  The therapeutic activity of temazepam is reduced with sleep.

B  Temazepam causes early awakening after sleep.

C  Temazepam induces sleep in approximately 1 hour.

D  Temazepam may cause gastrointestinal upset.

A  Dose of the drug used to produce the effect on the CNS

B  Duration of action on the central nervous system (CNS)

C  Degree of patient responsiveness to the drug given

D  Degree of inhibition of nerve impulse transmission to the CNS

A  Activated charcoal

B  Naloxone

C  Flumazenil

D  Ipecac syrup

A  Hallucinations

B  Ataxia

C  Dyspnea

D  Alertness

A  Diazepam

B  Temazepam

C  Midazolam

D  Flurazepam

A  Sleeping more during the day

B  Avoiding alcohol at bedtime

C  Establishing a set sleep pattern

D  Avoiding tobacco at bedtime

A  Diazepam

B  Zaleplon

C  Ramelteon

D  Pentobarbital

A  The patient is experiencing a muscle-relaxant overdose.

B  The patient is experiencing benzodiazepine toxicity.

C  The patient is experiencing a barbiturate overdose.

D  The patient was administered azole along with benzodiazepine.

A  Flumazenil at a maximum dose of 1 mg

B  Phenylephrine at a maximum dose of 5 mg

C  Flumazenil at a maximum dose of 3 mg

D  Phenylephrine at a maximum dose of 2 mg

A  Encouraging the patient to maintain a well-balanced diet

B  Teaching the patient about meditation

C  Instructing the patient to take low doses of benzodiazepines

D  Recommending that the patient consume a glass of warm lactose-free milk at bedtime

A  Amnesic properties

B  Presence of benzodiazepine receptors adjacent to the receptors responsible for alcohol addiction

C  Suppression of gamma-aminobutyric acid (GABA) receptors

D  Inhibition of nerve impulse transmission

A  Flumazenil

B  Furosemide

C  Olanzapine

D  Activated charcoal

A  Prolonged benzodiazepine action

B  Decreased benzodiazepine effects

C  Increased central nervous system (CNS) depression

D  Increased daytime sleepiness

A  Butabarbital

B  Pentobarbital

C  Mephobarbital

D  Phenobarbital

A  Oxytocin

B  Ceftriaxone

C  Sulfamethoxazole

D  Phenobarbital

A  The patient may need to be sedated to relieve symptoms of alcohol withdrawal.

B  The drug acts on gamma-aminobutyric acid (GABA) receptors in the central nervous system (CNS).

C  The drug may reduce the memory of painful symptoms related to alcohol withdrawal.

D  The drug acts on benzodiazepine receptors that play a role in alcohol addiction.

A  Rifampin

B  Verapamil

C  Olanzapine

D  Flumazenil

A  Dry mouth

B  Constipation

C  Amnesia

D  Decreased heart rate

A  Diazepam

B  Dantrolene

C  Baclofen

D  Cyclobenzaprine

A  Midazolam

B  Ramelteon

C  Alprazolam

D  Eszopiclone

A  Increased body weight

B  Bedwetting

C  Sleepwalking

D  Increased perspiration

A  Reduction of choreiform movement

B  Relief of nerve pain

C  Reduction of muscle rigidity

D  Prevention of lightheadedness

A  Drug allergy

B  Cardiac disease

C  Epileptic disease

D  Narrow-angle glaucoma

A  Ultra-short-acting barbiturates

B  Long-acting barbiturates

C  Intermediate-acting barbiturates

D  Short-acting barbiturates

A  Vivid dreams

B  Sleepwalking

C  Daytime fatigue

D  Bedwetting

A  Relaxation

B  Deep sleep

C  Sleepwalking

D  Dozing

A  Ramelteon

B  Zolpidem

C  Zaleplon

D  Eszopiclone

A  Provide another prescribed medication.

B  Administer four doses at 15-second intervals.

C  Continue to monitor consciousness for 2 minutes.

D  Administer a second dose.