Mastery EAQ Ch. 12

A  0.5 mg (5 mL) IV over 30 seconds

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

C  0.2 mg (2 mL) IV over 15 seconds

D  0.2 mg (2 mL) IV over 60 seconds

A  “I sleep less than I used to.”

B  “I often feel dizzy and lightheaded.”

C  “I feel like I breathe too deeply.”

D  “Nowadays I sleep for long hours.”

A  Ramelteon

B  Zaleplon

C  Alprazolam

D  Eszopiclone

A  The half-life of flumazenil is short.

B  A high dose of flumazenil was given.

C  Alcohol was consumed with the benzodiazepines.

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

A  Indicators of infection

B  Amount of bleeding

C  Level of consciousness

D  Muscle spasms

A  Antidote preparation

B  Airway maintenance

C  Seizure precautions

D  Comfort measures

A  Monitoring the patient’s renal and hepatic function

B  Monitoring for suicidal tendencies

C  Assessing the patient’s risk for injury or falls

D  Encouraging the patient to drink more fluids

A  Zaleplon

B  Baclofen

C  Diazepam

D  Pentobarbital

A  Alprazolam

B  Eszopiclone

C  Clonazepam

D  Temazepam

A  Narrow-angle glaucoma

B  Bronchial asthma

C  Kidney dysfunction

D  Liver dysfunction

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

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

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

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

A  Drinks grapefruit juice along with diazepam

B  Takes phenobarbital along with diazepam

C  Takes rifampin along with diazepam

D  Takes olanzapine along with diazepam

A  “Take the medication with food or milk.”

B  “Expect and prepare for a daytime hangover.”

C  “Allow at least 8 hours for sleep.”

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

A  Hypotension, Status epilepticus, Pregnancy

B  Pregnancy, Drug allergy, Significant respiratory difficulties

C  Hypotension, Drug allergy, Status epilepticus

D  Significant respiratory difficulties, Hypotension, Status epilepticus

A  Pentobarbital

B  Thiopental

C  Phenobarbital

D  Butabarbital

A  Increases pain associated with activities

B  Impairs coordinated movements

C  Produces drowsiness, lethargy, and blurred vision

D  Causes gastrointestinal distress

A  Use the lowest effective dosage.

B  Take the drug 30 minutes before sleeping.

C  Drink coffee or tea in the morning.

D  Avoid using this drug to induce sleep.

A  Respiratory arrest

B  Tonic-clonic seizure

C  Malignant hyperthermia

D  Delirium tremens

A  Suggest an alternate contraceptive method to the patient.

B  Request a prescription to increase the dosage of pentobarbital.

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

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

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

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

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

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

A  Administration of intravenous fluids

B  Administration of furosemide

C  Maintenance of an adequate airway

D  Administration of activated charcoal

A  Diazepam, Midazolam, Eszopiclone

B  Zolpidem, Ramelteon, Eszopiclone

C  Diazepam, Ramelteon, Midazolam

D  Zolpidem, Diazepam, Midazolam

A  Drink lactose-free milk at bedtime.

B  Use home remedies of vegetables and herbs.

C  Go to acupuncture therapy.

D  Take lower doses of benzodiazepines.

A  Infusion that is too rapid

B  Infusion without dilution

C  Intravenous infiltration

D  Infusion of other drugs

A  Temazepam causes early awakening after sleep.

B  Temazepam induces sleep in approximately 1 hour.

C  The therapeutic activity of temazepam is reduced with sleep.

D  Temazepam may cause gastrointestinal upset.

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

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

C  Degree of inhibition of nerve impulse transmission to the CNS

D  Degree of patient responsiveness to the drug given

A  Flumazenil

B  Naloxone

C  Ipecac syrup

D  Activated charcoal

A  Dyspnea

B  Hallucinations

C  Ataxia

D  Alertness

A  Diazepam

B  Temazepam

C  Midazolam

D  Flurazepam

A  Avoiding tobacco at bedtime

B  Establishing a set sleep pattern

C  Sleeping more during the day

D  Avoiding alcohol at bedtime

A  Diazepam

B  Ramelteon

C  Zaleplon

D  Pentobarbital

A  The patient is experiencing a muscle-relaxant overdose.

B  The patient was administered azole along with benzodiazepine.

C  The patient is experiencing a barbiturate overdose.

D  The patient is experiencing benzodiazepine toxicity.

A  Flumazenil at a maximum dose of 3 mg

B  Flumazenil at a maximum dose of 1 mg

C  Phenylephrine at a maximum dose of 5 mg

D  Phenylephrine at a maximum dose of 2 mg

A  Teaching the patient about meditation

B  Encouraging the patient to maintain a well-balanced diet

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

D  Instructing the patient to take low doses of benzodiazepines

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

B  Amnesic properties

C  Inhibition of nerve impulse transmission

D  Suppression of gamma-aminobutyric acid (GABA) receptors

A  Flumazenil

B  Furosemide

C  Activated charcoal

D  Olanzapine

A  Prolonged benzodiazepine action

B  Increased daytime sleepiness

C  Decreased benzodiazepine effects

D  Increased central nervous system (CNS) depression

A  Phenobarbital

B  Pentobarbital

C  Mephobarbital

D  Butabarbital

A  Sulfamethoxazole

B  Ceftriaxone

C  Phenobarbital

D  Oxytocin

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

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

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

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

A  Flumazenil

B  Olanzapine

C  Rifampin

D  Verapamil

A  Amnesia

B  Decreased heart rate

C  Constipation

D  Dry mouth

A  Diazepam

B  Cyclobenzaprine

C  Dantrolene

D  Baclofen

A  Ramelteon

B  Eszopiclone

C  Midazolam

D  Alprazolam

A  Sleepwalking

B  Increased body weight

C  Increased perspiration

D  Bedwetting

A  Prevention of lightheadedness

B  Reduction of muscle rigidity

C  Reduction of choreiform movement

D  Relief of nerve pain

A  Narrow-angle glaucoma

B  Epileptic disease

C  Cardiac disease

D  Drug allergy

A  Intermediate-acting barbiturates

B  Short-acting barbiturates

C  Ultra-short-acting barbiturates

D  Long-acting barbiturates

A  Sleepwalking

B  Vivid dreams

C  Daytime fatigue

D  Bedwetting

A  Deep sleep

B  Relaxation

C  Dozing

D  Sleepwalking

A  Zolpidem

B  Ramelteon

C  Eszopiclone

D  Zaleplon

A  Administer four doses at 15-second intervals.

B  Administer a second dose.

C  Continue to monitor consciousness for 2 minutes.

D  Provide another prescribed medication.