Mastery EAQ Ch. 12

A  0.2 mg (2 mL) IV over 60 seconds

B  0.2 mg (2 mL) IV over 15 seconds

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

B  Alprazolam

C  Eszopiclone

D  Zaleplon

A  A high dose of flumazenil was given.

B  Alcohol was consumed with the benzodiazepines.

C  The half-life of flumazenil is short.

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

A  Indicators of infection

B  Amount of bleeding

C  Muscle spasms

D  Level of consciousness

A  Antidote preparation

B  Seizure precautions

C  Comfort measures

D  Airway maintenance

A  Assessing the patient’s risk for injury or falls

B  Monitoring the patient’s renal and hepatic function

C  Monitoring for suicidal tendencies

D  Encouraging the patient to drink more fluids

A  Pentobarbital

B  Baclofen

C  Zaleplon

D  Diazepam

A  Alprazolam

B  Clonazepam

C  Temazepam

D  Eszopiclone

A  Liver dysfunction

B  Narrow-angle glaucoma

C  Bronchial asthma

D  Kidney dysfunction

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

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

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

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

A  Takes rifampin along with diazepam

B  Takes olanzapine along with diazepam

C  Takes phenobarbital along with diazepam

D  Drinks grapefruit juice along with diazepam

A  “Expect and prepare for a daytime hangover.”

B  “Allow at least 8 hours for sleep.”

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

D  “Take the medication with food or milk.”

A  Pregnancy, Drug allergy, Significant respiratory difficulties

B  Hypotension, Status epilepticus, Pregnancy

C  Hypotension, Drug allergy, Status epilepticus

D  Significant respiratory difficulties, Hypotension, Status epilepticus

A  Phenobarbital

B  Pentobarbital

C  Thiopental

D  Butabarbital

A  Increases pain associated with activities

B  Causes gastrointestinal distress

C  Produces drowsiness, lethargy, and blurred vision

D  Impairs coordinated movements

A  Take the drug 30 minutes before sleeping.

B  Avoid using this drug to induce sleep.

C  Use the lowest effective dosage.

D  Drink coffee or tea in the morning.

A  Malignant hyperthermia

B  Respiratory arrest

C  Tonic-clonic seizure

D  Delirium tremens

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 will have a glass of warm milk before bed.”

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

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 activated charcoal

B  Administration of furosemide

C  Maintenance of an adequate airway

D  Administration of intravenous fluids

A  Zolpidem, Ramelteon, Eszopiclone

B  Diazepam, Midazolam, Eszopiclone

C  Diazepam, Ramelteon, Midazolam

D  Zolpidem, Diazepam, Midazolam

A  Take lower doses of benzodiazepines.

B  Go to acupuncture therapy.

C  Drink lactose-free milk at bedtime.

D  Use home remedies of vegetables and herbs.

A  Intravenous infiltration

B  Infusion of other drugs

C  Infusion that is too rapid

D  Infusion without dilution

A  Temazepam induces sleep in approximately 1 hour.

B  The therapeutic activity of temazepam is reduced with sleep.

C  Temazepam causes early awakening after sleep.

D  Temazepam may cause gastrointestinal upset.

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

B  Degree of patient responsiveness to the drug given

C  Degree of inhibition of nerve impulse transmission to the CNS

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

A  Ipecac syrup

B  Naloxone

C  Activated charcoal

D  Flumazenil

A  Dyspnea

B  Ataxia

C  Alertness

D  Hallucinations

A  Temazepam

B  Diazepam

C  Flurazepam

D  Midazolam

A  Sleeping more during the day

B  Avoiding alcohol at bedtime

C  Establishing a set sleep pattern

D  Avoiding tobacco at bedtime

A  Ramelteon

B  Diazepam

C  Zaleplon

D  Pentobarbital

A  The patient was administered azole along with benzodiazepine.

B  The patient is experiencing a barbiturate overdose.

C  The patient is experiencing a muscle-relaxant overdose.

D  The patient is experiencing benzodiazepine toxicity.

A  Flumazenil at a maximum dose of 3 mg

B  Phenylephrine at a maximum dose of 2 mg

C  Phenylephrine at a maximum dose of 5 mg

D  Flumazenil at a maximum dose of 1 mg

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

B  Instructing the patient to take low doses of benzodiazepines

C  Teaching the patient about meditation

D  Encouraging the patient to maintain a well-balanced diet

A  Amnesic properties

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

C  Inhibition of nerve impulse transmission

D  Suppression of gamma-aminobutyric acid (GABA) receptors

A  Furosemide

B  Flumazenil

C  Activated charcoal

D  Olanzapine

A  Prolonged benzodiazepine action

B  Decreased benzodiazepine effects

C  Increased daytime sleepiness

D  Increased central nervous system (CNS) depression

A  Phenobarbital

B  Mephobarbital

C  Butabarbital

D  Pentobarbital

A  Oxytocin

B  Sulfamethoxazole

C  Ceftriaxone

D  Phenobarbital

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  Verapamil

B  Olanzapine

C  Flumazenil

D  Rifampin

A  Amnesia

B  Decreased heart rate

C  Constipation

D  Dry mouth

A  Cyclobenzaprine

B  Baclofen

C  Diazepam

D  Dantrolene

A  Eszopiclone

B  Ramelteon

C  Alprazolam

D  Midazolam

A  Bedwetting

B  Increased perspiration

C  Increased body weight

D  Sleepwalking

A  Reduction of muscle rigidity

B  Prevention of lightheadedness

C  Relief of nerve pain

D  Reduction of choreiform movement

A  Epileptic disease

B  Drug allergy

C  Cardiac disease

D  Narrow-angle glaucoma

A  Long-acting barbiturates

B  Ultra-short-acting barbiturates

C  Intermediate-acting barbiturates

D  Short-acting barbiturates

A  Sleepwalking

B  Bedwetting

C  Daytime fatigue

D  Vivid dreams

A  Relaxation

B  Deep sleep

C  Dozing

D  Sleepwalking

A  Zolpidem

B  Zaleplon

C  Ramelteon

D  Eszopiclone

A  Administer four doses at 15-second intervals.

B  Continue to monitor consciousness for 2 minutes.

C  Provide another prescribed medication.

D  Administer a second dose.