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  “Nowadays I sleep for long hours.”

B  “I feel like I breathe too deeply.”

C  “I sleep less than I used to.”

D  “I often feel dizzy and lightheaded.”

A  Zaleplon

B  Alprazolam

C  Eszopiclone

D  Ramelteon

A  Alcohol was consumed with the benzodiazepines.

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

C  The half-life of flumazenil is short.

D  A high dose of flumazenil was given.

A  Amount of bleeding

B  Muscle spasms

C  Level of consciousness

D  Indicators of infection

A  Antidote preparation

B  Airway maintenance

C  Seizure precautions

D  Comfort measures

A  Assessing the patient’s risk for injury or falls

B  Monitoring for suicidal tendencies

C  Monitoring the patient’s renal and hepatic function

D  Encouraging the patient to drink more fluids

A  Diazepam

B  Zaleplon

C  Pentobarbital

D  Baclofen

A  Alprazolam

B  Clonazepam

C  Eszopiclone

D  Temazepam

A  Bronchial asthma

B  Kidney dysfunction

C  Narrow-angle glaucoma

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), Serotonin-norepinephrine reuptake inhibitor (SNRI), Atypical antidepressants

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

A  Takes phenobarbital along with diazepam

B  Takes rifampin along with diazepam

C  Takes olanzapine along with diazepam

D  Drinks grapefruit juice along with diazepam

A  “Expect and prepare for a daytime hangover.”

B  “Take the medication with food or milk.”

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  Butabarbital

B  Thiopental

C  Pentobarbital

D  Phenobarbital

A  Causes gastrointestinal distress

B  Produces drowsiness, lethargy, and blurred vision

C  Impairs coordinated movements

D  Increases pain associated with activities

A  Use the lowest effective dosage.

B  Avoid using this drug to induce sleep.

C  Drink coffee or tea in the morning.

D  Take the drug 30 minutes before sleeping.

A  Delirium tremens

B  Malignant hyperthermia

C  Tonic-clonic seizure

D  Respiratory arrest

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

B  Request a prescription to increase the dosage of pentobarbital.

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

D  Suggest an alternate contraceptive method to the patient.

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

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

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

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

A  Administration of furosemide

B  Administration of activated charcoal

C  Administration of intravenous fluids

D  Maintenance of an adequate airway

A  Zolpidem, Ramelteon, Eszopiclone

B  Diazepam, Ramelteon, Midazolam

C  Diazepam, Midazolam, Eszopiclone

D  Zolpidem, Diazepam, Midazolam

A  Take lower doses of benzodiazepines.

B  Use home remedies of vegetables and herbs.

C  Go to acupuncture therapy.

D  Drink lactose-free milk at bedtime.

A  Infusion without dilution

B  Intravenous infiltration

C  Infusion that is too rapid

D  Infusion of other drugs

A  The therapeutic activity of temazepam is reduced with sleep.

B  Temazepam may cause gastrointestinal upset.

C  Temazepam induces sleep in approximately 1 hour.

D  Temazepam causes early awakening after sleep.

A  Degree of patient responsiveness to the drug given

B  Degree of inhibition of nerve impulse transmission to the CNS

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

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

A  Ipecac syrup

B  Flumazenil

C  Activated charcoal

D  Naloxone

A  Ataxia

B  Dyspnea

C  Alertness

D  Hallucinations

A  Midazolam

B  Diazepam

C  Flurazepam

D  Temazepam

A  Establishing a set sleep pattern

B  Avoiding tobacco at bedtime

C  Avoiding alcohol at bedtime

D  Sleeping more during the day

A  Diazepam

B  Zaleplon

C  Pentobarbital

D  Ramelteon

A  The patient was administered azole along with benzodiazepine.

B  The patient is experiencing a muscle-relaxant overdose.

C  The patient is experiencing benzodiazepine toxicity.

D  The patient is experiencing a barbiturate overdose.

A  Phenylephrine at a maximum dose of 5 mg

B  Flumazenil at a maximum dose of 3 mg

C  Phenylephrine at a maximum dose of 2 mg

D  Flumazenil at a maximum dose of 1 mg

A  Instructing the patient to take low doses of benzodiazepines

B  Encouraging the patient to maintain a well-balanced diet

C  Teaching the patient about meditation

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

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

B  Inhibition of nerve impulse transmission

C  Suppression of gamma-aminobutyric acid (GABA) receptors

D  Amnesic properties

A  Activated charcoal

B  Olanzapine

C  Flumazenil

D  Furosemide

A  Prolonged benzodiazepine action

B  Decreased benzodiazepine effects

C  Increased daytime sleepiness

D  Increased central nervous system (CNS) depression

A  Mephobarbital

B  Pentobarbital

C  Phenobarbital

D  Butabarbital

A  Sulfamethoxazole

B  Ceftriaxone

C  Phenobarbital

D  Oxytocin

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

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

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

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

A  Flumazenil

B  Verapamil

C  Rifampin

D  Olanzapine

A  Amnesia

B  Decreased heart rate

C  Constipation

D  Dry mouth

A  Cyclobenzaprine

B  Dantrolene

C  Baclofen

D  Diazepam

A  Ramelteon

B  Midazolam

C  Alprazolam

D  Eszopiclone

A  Increased perspiration

B  Sleepwalking

C  Bedwetting

D  Increased body weight

A  Relief of nerve pain

B  Reduction of muscle rigidity

C  Prevention of lightheadedness

D  Reduction of choreiform movement

A  Narrow-angle glaucoma

B  Epileptic disease

C  Drug allergy

D  Cardiac disease

A  Intermediate-acting barbiturates

B  Short-acting barbiturates

C  Ultra-short-acting barbiturates

D  Long-acting barbiturates

A  Bedwetting

B  Sleepwalking

C  Vivid dreams

D  Daytime fatigue

A  Sleepwalking

B  Relaxation

C  Deep sleep

D  Dozing

A  Zolpidem

B  Zaleplon

C  Eszopiclone

D  Ramelteon

A  Administer a second dose.

B  Provide another prescribed medication.

C  Continue to monitor consciousness for 2 minutes.

D  Administer four doses at 15-second intervals.