Mastery EAQ Ch. 12

A  0.2 mg (2 mL) IV over 60 seconds

B  0.5 mg (5 mL) IV over 30 seconds

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

D  0.2 mg (2 mL) IV over 15 seconds

A  “I often feel dizzy and lightheaded.”

B  “I sleep less than I used to.”

C  “I feel like I breathe too deeply.”

D  “Nowadays I sleep for long hours.”

A  Alprazolam

B  Eszopiclone

C  Ramelteon

D  Zaleplon

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

B  The half-life of flumazenil is short.

C  Alcohol was consumed with the benzodiazepines.

D  A high dose of flumazenil was given.

A  Indicators of infection

B  Amount of bleeding

C  Level of consciousness

D  Muscle spasms

A  Seizure precautions

B  Comfort measures

C  Antidote preparation

D  Airway maintenance

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  Diazepam

B  Pentobarbital

C  Zaleplon

D  Baclofen

A  Alprazolam

B  Temazepam

C  Eszopiclone

D  Clonazepam

A  Narrow-angle glaucoma

B  Liver dysfunction

C  Bronchial asthma

D  Kidney dysfunction

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

A  Takes phenobarbital along with diazepam

B  Drinks grapefruit juice along with diazepam

C  Takes olanzapine along with diazepam

D  Takes rifampin along with diazepam

A  “Allow at least 8 hours for sleep.”

B  “Expect and prepare for a daytime hangover.”

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

D  “Take the medication with food or milk.”

A  Hypotension, Drug allergy, Status epilepticus

B  Significant respiratory difficulties, Hypotension, Status epilepticus

C  Pregnancy, Drug allergy, Significant respiratory difficulties

D  Hypotension, Status epilepticus, Pregnancy

A  Phenobarbital

B  Thiopental

C  Butabarbital

D  Pentobarbital

A  Causes gastrointestinal distress

B  Produces drowsiness, lethargy, and blurred vision

C  Impairs coordinated movements

D  Increases pain associated with activities

A  Drink coffee or tea in the morning.

B  Take the drug 30 minutes before sleeping.

C  Avoid using this drug to induce sleep.

D  Use the lowest effective dosage.

A  Delirium tremens

B  Malignant hyperthermia

C  Respiratory arrest

D  Tonic-clonic seizure

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

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

C  Request a prescription to increase the dosage of pentobarbital.

D  Suggest an alternate contraceptive method to the patient.

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

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

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

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

A  Administration of furosemide

B  Administration of activated charcoal

C  Administration of intravenous fluids

D  Maintenance of an adequate airway

A  Diazepam, Midazolam, Eszopiclone

B  Diazepam, Ramelteon, Midazolam

C  Zolpidem, Diazepam, Midazolam

D  Zolpidem, Ramelteon, Eszopiclone

A  Go to acupuncture therapy.

B  Take lower doses of benzodiazepines.

C  Use home remedies of vegetables and herbs.

D  Drink lactose-free milk at bedtime.

A  Intravenous infiltration

B  Infusion of other drugs

C  Infusion that is too rapid

D  Infusion without dilution

A  Temazepam may cause gastrointestinal upset.

B  Temazepam causes early awakening after sleep.

C  Temazepam induces sleep in approximately 1 hour.

D  The therapeutic activity of temazepam is reduced with sleep.

A  Degree of patient responsiveness to the drug given

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 inhibition of nerve impulse transmission to the CNS

A  Naloxone

B  Flumazenil

C  Ipecac syrup

D  Activated charcoal

A  Dyspnea

B  Ataxia

C  Alertness

D  Hallucinations

A  Flurazepam

B  Temazepam

C  Diazepam

D  Midazolam

A  Avoiding alcohol at bedtime

B  Sleeping more during the day

C  Avoiding tobacco at bedtime

D  Establishing a set sleep pattern

A  Zaleplon

B  Diazepam

C  Pentobarbital

D  Ramelteon

A  The patient is experiencing benzodiazepine toxicity.

B  The patient is experiencing a muscle-relaxant overdose.

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 2 mg

C  Flumazenil at a maximum dose of 3 mg

D  Phenylephrine at a maximum dose of 5 mg

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

B  Encouraging the patient to maintain a well-balanced diet

C  Teaching the patient about meditation

D  Instructing the patient to take low doses of benzodiazepines

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

B  Inhibition of nerve impulse transmission

C  Amnesic properties

D  Suppression of gamma-aminobutyric acid (GABA) receptors

A  Flumazenil

B  Activated charcoal

C  Olanzapine

D  Furosemide

A  Increased central nervous system (CNS) depression

B  Prolonged benzodiazepine action

C  Increased daytime sleepiness

D  Decreased benzodiazepine effects

A  Phenobarbital

B  Mephobarbital

C  Pentobarbital

D  Butabarbital

A  Oxytocin

B  Ceftriaxone

C  Phenobarbital

D  Sulfamethoxazole

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

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

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

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

A  Flumazenil

B  Olanzapine

C  Rifampin

D  Verapamil

A  Amnesia

B  Decreased heart rate

C  Constipation

D  Dry mouth

A  Dantrolene

B  Diazepam

C  Cyclobenzaprine

D  Baclofen

A  Midazolam

B  Alprazolam

C  Ramelteon

D  Eszopiclone

A  Increased body weight

B  Bedwetting

C  Increased perspiration

D  Sleepwalking

A  Reduction of muscle rigidity

B  Reduction of choreiform movement

C  Relief of nerve pain

D  Prevention of lightheadedness

A  Cardiac disease

B  Drug allergy

C  Epileptic disease

D  Narrow-angle glaucoma

A  Short-acting barbiturates

B  Long-acting barbiturates

C  Ultra-short-acting barbiturates

D  Intermediate-acting barbiturates

A  Vivid dreams

B  Daytime fatigue

C  Sleepwalking

D  Bedwetting

A  Dozing

B  Relaxation

C  Sleepwalking

D  Deep sleep

A  Ramelteon

B  Eszopiclone

C  Zolpidem

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.