Mastery EAQ Ch. 12

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

B  0.5 mg (5 mL) IV over 30 seconds

C  0.2 mg (2 mL) IV over 60 seconds

D  0.2 mg (2 mL) IV over 15 seconds

A  “I sleep less than I used to.”

B  “I often feel dizzy and lightheaded.”

C  “Nowadays I sleep for long hours.”

D  “I feel like I breathe too deeply.”

A  Alprazolam

B  Ramelteon

C  Eszopiclone

D  Zaleplon

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

B  A high dose of flumazenil was given.

C  Alcohol was consumed with the benzodiazepines.

D  The half-life of flumazenil is short.

A  Level of consciousness

B  Amount of bleeding

C  Muscle spasms

D  Indicators of infection

A  Airway maintenance

B  Antidote preparation

C  Seizure precautions

D  Comfort measures

A  Encouraging the patient to drink more fluids

B  Monitoring the patient’s renal and hepatic function

C  Monitoring for suicidal tendencies

D  Assessing the patient’s risk for injury or falls

A  Pentobarbital

B  Baclofen

C  Diazepam

D  Zaleplon

A  Alprazolam

B  Eszopiclone

C  Temazepam

D  Clonazepam

A  Kidney dysfunction

B  Liver dysfunction

C  Bronchial asthma

D  Narrow-angle glaucoma

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

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

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

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

A  Takes olanzapine along with diazepam

B  Takes rifampin along with diazepam

C  Drinks grapefruit juice along with diazepam

D  Takes phenobarbital along with diazepam

A  “Take the medication with food or milk.”

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

C  “Expect and prepare for a daytime hangover.”

D  “Allow at least 8 hours for sleep.”

A  Hypotension, Status epilepticus, Pregnancy

B  Hypotension, Drug allergy, Status epilepticus

C  Significant respiratory difficulties, Hypotension, Status epilepticus

D  Pregnancy, Drug allergy, Significant respiratory difficulties

A  Pentobarbital

B  Thiopental

C  Butabarbital

D  Phenobarbital

A  Causes gastrointestinal distress

B  Produces drowsiness, lethargy, and blurred vision

C  Impairs coordinated movements

D  Increases pain associated with activities

A  Take the drug 30 minutes before sleeping.

B  Use the lowest effective dosage.

C  Drink coffee or tea in the morning.

D  Avoid using this drug to induce sleep.

A  Delirium tremens

B  Respiratory arrest

C  Malignant hyperthermia

D  Tonic-clonic seizure

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

B  Suggest an alternate contraceptive method to the patient.

C  Request a prescription to increase the dosage of pentobarbital.

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

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

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

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

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

A  Administration of furosemide

B  Administration of intravenous fluids

C  Administration of activated charcoal

D  Maintenance of an adequate airway

A  Diazepam, Midazolam, Eszopiclone

B  Diazepam, Ramelteon, Midazolam

C  Zolpidem, Diazepam, Midazolam

D  Zolpidem, Ramelteon, Eszopiclone

A  Take lower doses of benzodiazepines.

B  Drink lactose-free milk at bedtime.

C  Use home remedies of vegetables and herbs.

D  Go to acupuncture therapy.

A  Infusion without dilution

B  Infusion that is too rapid

C  Intravenous infiltration

D  Infusion of other drugs

A  Temazepam may cause gastrointestinal upset.

B  The therapeutic activity of temazepam is reduced with sleep.

C  Temazepam induces sleep in approximately 1 hour.

D  Temazepam causes early awakening after sleep.

A  Degree of inhibition of nerve impulse transmission to the CNS

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

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

D  Degree of patient responsiveness to the drug given

A  Activated charcoal

B  Naloxone

C  Flumazenil

D  Ipecac syrup

A  Hallucinations

B  Alertness

C  Dyspnea

D  Ataxia

A  Flurazepam

B  Diazepam

C  Temazepam

D  Midazolam

A  Sleeping more during the day

B  Avoiding tobacco at bedtime

C  Establishing a set sleep pattern

D  Avoiding alcohol at bedtime

A  Pentobarbital

B  Zaleplon

C  Diazepam

D  Ramelteon

A  The patient is experiencing a barbiturate overdose.

B  The patient was administered azole along with benzodiazepine.

C  The patient is experiencing a muscle-relaxant overdose.

D  The patient is experiencing benzodiazepine toxicity.

A  Phenylephrine at a maximum dose of 2 mg

B  Flumazenil at a maximum dose of 3 mg

C  Flumazenil at a maximum dose of 1 mg

D  Phenylephrine at a maximum dose of 5 mg

A  Encouraging the patient to maintain a well-balanced diet

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

C  Instructing the patient to take low doses of benzodiazepines

D  Teaching the patient about meditation

A  Amnesic properties

B  Inhibition of nerve impulse transmission

C  Suppression of gamma-aminobutyric acid (GABA) receptors

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

A  Olanzapine

B  Activated charcoal

C  Flumazenil

D  Furosemide

A  Prolonged benzodiazepine action

B  Increased daytime sleepiness

C  Decreased benzodiazepine effects

D  Increased central nervous system (CNS) depression

A  Phenobarbital

B  Butabarbital

C  Pentobarbital

D  Mephobarbital

A  Sulfamethoxazole

B  Oxytocin

C  Phenobarbital

D  Ceftriaxone

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

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

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

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

A  Olanzapine

B  Flumazenil

C  Rifampin

D  Verapamil

A  Amnesia

B  Dry mouth

C  Constipation

D  Decreased heart rate

A  Dantrolene

B  Baclofen

C  Diazepam

D  Cyclobenzaprine

A  Eszopiclone

B  Midazolam

C  Ramelteon

D  Alprazolam

A  Increased body weight

B  Increased perspiration

C  Bedwetting

D  Sleepwalking

A  Prevention of lightheadedness

B  Reduction of choreiform movement

C  Reduction of muscle rigidity

D  Relief of nerve pain

A  Drug allergy

B  Epileptic disease

C  Narrow-angle glaucoma

D  Cardiac disease

A  Intermediate-acting barbiturates

B  Short-acting barbiturates

C  Long-acting barbiturates

D  Ultra-short-acting barbiturates

A  Vivid dreams

B  Sleepwalking

C  Bedwetting

D  Daytime fatigue

A  Deep sleep

B  Sleepwalking

C  Relaxation

D  Dozing

A  Zolpidem

B  Zaleplon

C  Ramelteon

D  Eszopiclone

A  Continue to monitor consciousness for 2 minutes.

B  Provide another prescribed medication.

C  Administer a second dose.

D  Administer four doses at 15-second intervals.