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 60 seconds

D  0.2 mg (2 mL) IV over 15 seconds

A  “Nowadays I sleep for long hours.”

B  “I often feel dizzy and lightheaded.”

C  “I feel like I breathe too deeply.”

D  “I sleep less than I used to.”

A  Eszopiclone

B  Alprazolam

C  Zaleplon

D  Ramelteon

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  Muscle spasms

D  Level of consciousness

A  Comfort measures

B  Antidote preparation

C  Airway maintenance

D  Seizure precautions

A  Assessing the patient’s risk for injury or falls

B  Encouraging the patient to drink more fluids

C  Monitoring for suicidal tendencies

D  Monitoring the patient’s renal and hepatic function

A  Diazepam

B  Zaleplon

C  Pentobarbital

D  Baclofen

A  Alprazolam

B  Eszopiclone

C  Temazepam

D  Clonazepam

A  Kidney dysfunction

B  Bronchial asthma

C  Liver dysfunction

D  Narrow-angle glaucoma

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 phenobarbital along with diazepam

B  Drinks grapefruit juice along with diazepam

C  Takes rifampin along with diazepam

D  Takes olanzapine 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, Drug allergy, Status epilepticus

B  Hypotension, Status epilepticus, Pregnancy

C  Pregnancy, Drug allergy, Significant respiratory difficulties

D  Significant respiratory difficulties, Hypotension, Status epilepticus

A  Thiopental

B  Butabarbital

C  Pentobarbital

D  Phenobarbital

A  Increases pain associated with activities

B  Produces drowsiness, lethargy, and blurred vision

C  Impairs coordinated movements

D  Causes gastrointestinal distress

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  Respiratory arrest

D  Tonic-clonic seizure

A  Suggest an alternate contraceptive method to the patient.

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

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

D  Request a prescription to increase the dosage of pentobarbital.

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

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

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

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

A  Administration of intravenous fluids

B  Maintenance of an adequate airway

C  Administration of activated charcoal

D  Administration of furosemide

A  Diazepam, Midazolam, Eszopiclone

B  Zolpidem, Diazepam, Midazolam

C  Diazepam, Ramelteon, Midazolam

D  Zolpidem, Ramelteon, Eszopiclone

A  Use home remedies of vegetables and herbs.

B  Go to acupuncture therapy.

C  Take lower doses of benzodiazepines.

D  Drink lactose-free milk at bedtime.

A  Infusion without dilution

B  Intravenous infiltration

C  Infusion of other drugs

D  Infusion that is too rapid

A  Temazepam causes early awakening after sleep.

B  Temazepam induces sleep in approximately 1 hour.

C  Temazepam may cause gastrointestinal upset.

D  The therapeutic activity of temazepam is reduced with 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  Flumazenil

B  Naloxone

C  Ipecac syrup

D  Activated charcoal

A  Hallucinations

B  Alertness

C  Dyspnea

D  Ataxia

A  Temazepam

B  Midazolam

C  Flurazepam

D  Diazepam

A  Avoiding alcohol at bedtime

B  Avoiding tobacco at bedtime

C  Establishing a set sleep pattern

D  Sleeping more during the day

A  Zaleplon

B  Pentobarbital

C  Diazepam

D  Ramelteon

A  The patient is experiencing benzodiazepine toxicity.

B  The patient was administered azole along with benzodiazepine.

C  The patient is experiencing a barbiturate overdose.

D  The patient is experiencing a muscle-relaxant overdose.

A  Flumazenil at a maximum dose of 1 mg

B  Phenylephrine at a maximum dose of 5 mg

C  Phenylephrine at a maximum dose of 2 mg

D  Flumazenil at a maximum dose of 3 mg

A  Instructing the patient to take low doses of benzodiazepines

B  Teaching the patient about meditation

C  Encouraging the patient to maintain a well-balanced diet

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  Suppression of gamma-aminobutyric acid (GABA) receptors

C  Amnesic properties

D  Inhibition of nerve impulse transmission

A  Activated charcoal

B  Flumazenil

C  Furosemide

D  Olanzapine

A  Prolonged benzodiazepine action

B  Increased central nervous system (CNS) depression

C  Decreased benzodiazepine effects

D  Increased daytime sleepiness

A  Mephobarbital

B  Pentobarbital

C  Phenobarbital

D  Butabarbital

A  Phenobarbital

B  Ceftriaxone

C  Oxytocin

D  Sulfamethoxazole

A  The patient may need to be sedated to relieve symptoms of 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 drug may reduce the memory of painful symptoms related to alcohol withdrawal.

A  Flumazenil

B  Rifampin

C  Olanzapine

D  Verapamil

A  Amnesia

B  Constipation

C  Decreased heart rate

D  Dry mouth

A  Cyclobenzaprine

B  Diazepam

C  Baclofen

D  Dantrolene

A  Eszopiclone

B  Midazolam

C  Ramelteon

D  Alprazolam

A  Increased perspiration

B  Sleepwalking

C  Bedwetting

D  Increased body weight

A  Reduction of muscle rigidity

B  Reduction of choreiform movement

C  Relief of nerve pain

D  Prevention of lightheadedness

A  Drug allergy

B  Cardiac disease

C  Epileptic disease

D  Narrow-angle glaucoma

A  Ultra-short-acting barbiturates

B  Intermediate-acting barbiturates

C  Short-acting barbiturates

D  Long-acting barbiturates

A  Daytime fatigue

B  Vivid dreams

C  Sleepwalking

D  Bedwetting

A  Deep sleep

B  Relaxation

C  Sleepwalking

D  Dozing

A  Zolpidem

B  Ramelteon

C  Zaleplon

D  Eszopiclone

A  Continue to monitor consciousness for 2 minutes.

B  Administer four doses at 15-second intervals.

C  Administer a second dose.

D  Provide another prescribed medication.