Mastery EAQ Ch. 12

A  0.2 mg (2 mL) IV over 15 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 60 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  Zaleplon

D  Ramelteon

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

B  The half-life of flumazenil is short.

C  A high dose of flumazenil was given.

D  Alcohol was consumed with the benzodiazepines.

A  Muscle spasms

B  Level of consciousness

C  Amount of bleeding

D  Indicators of infection

A  Antidote preparation

B  Comfort measures

C  Airway maintenance

D  Seizure precautions

A  Monitoring for suicidal tendencies

B  Assessing the patient’s risk for injury or falls

C  Encouraging the patient to drink more fluids

D  Monitoring the patient’s renal and hepatic function

A  Pentobarbital

B  Zaleplon

C  Baclofen

D  Diazepam

A  Temazepam

B  Clonazepam

C  Eszopiclone

D  Alprazolam

A  Liver dysfunction

B  Narrow-angle glaucoma

C  Kidney dysfunction

D  Bronchial asthma

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

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

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

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

A  Drinks grapefruit juice along with diazepam

B  Takes olanzapine along with diazepam

C  Takes phenobarbital 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  “Take the medication with food or milk.”

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

A  Pregnancy, Drug allergy, Significant respiratory difficulties

B  Significant respiratory difficulties, Hypotension, Status epilepticus

C  Hypotension, Status epilepticus, Pregnancy

D  Hypotension, Drug allergy, Status epilepticus

A  Phenobarbital

B  Pentobarbital

C  Thiopental

D  Butabarbital

A  Causes gastrointestinal distress

B  Impairs coordinated movements

C  Increases pain associated with activities

D  Produces drowsiness, lethargy, and blurred vision

A  Avoid using this drug to induce sleep.

B  Take the drug 30 minutes before sleeping.

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 may be prescribed benzodiazepines to promote sleep.”

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

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

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

A  Administration of furosemide

B  Maintenance of an adequate airway

C  Administration of intravenous fluids

D  Administration of activated charcoal

A  Zolpidem, Ramelteon, Eszopiclone

B  Diazepam, Midazolam, Eszopiclone

C  Zolpidem, Diazepam, Midazolam

D  Diazepam, Ramelteon, Midazolam

A  Take lower doses of benzodiazepines.

B  Go to acupuncture therapy.

C  Use home remedies of vegetables and herbs.

D  Drink lactose-free milk at bedtime.

A  Infusion without dilution

B  Infusion that is too rapid

C  Infusion of other drugs

D  Intravenous infiltration

A  The therapeutic activity of temazepam is reduced with sleep.

B  Temazepam may cause gastrointestinal upset.

C  Temazepam causes early awakening after sleep.

D  Temazepam induces sleep in approximately 1 hour.

A  Degree of patient responsiveness to the drug given

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

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

D  Degree of inhibition of nerve impulse transmission to the CNS

A  Naloxone

B  Ipecac syrup

C  Flumazenil

D  Activated charcoal

A  Ataxia

B  Dyspnea

C  Hallucinations

D  Alertness

A  Diazepam

B  Midazolam

C  Flurazepam

D  Temazepam

A  Sleeping more during the day

B  Establishing a set sleep pattern

C  Avoiding tobacco at bedtime

D  Avoiding alcohol at bedtime

A  Ramelteon

B  Zaleplon

C  Pentobarbital

D  Diazepam

A  The patient is experiencing a muscle-relaxant overdose.

B  The patient is experiencing a barbiturate overdose.

C  The patient was administered azole along with benzodiazepine.

D  The patient is experiencing benzodiazepine toxicity.

A  Phenylephrine at a maximum dose of 5 mg

B  Flumazenil at a maximum dose of 1 mg

C  Flumazenil at a maximum dose of 3 mg

D  Phenylephrine at a maximum dose of 2 mg

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

B  Teaching the patient about meditation

C  Encouraging the patient to maintain a well-balanced diet

D  Instructing the patient to take low doses of benzodiazepines

A  Suppression of gamma-aminobutyric acid (GABA) receptors

B  Inhibition of nerve impulse transmission

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

D  Amnesic properties

A  Flumazenil

B  Activated charcoal

C  Olanzapine

D  Furosemide

A  Prolonged benzodiazepine action

B  Increased central nervous system (CNS) depression

C  Increased daytime sleepiness

D  Decreased benzodiazepine effects

A  Pentobarbital

B  Butabarbital

C  Mephobarbital

D  Phenobarbital

A  Phenobarbital

B  Oxytocin

C  Sulfamethoxazole

D  Ceftriaxone

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

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

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  Verapamil

B  Flumazenil

C  Rifampin

D  Olanzapine

A  Constipation

B  Amnesia

C  Decreased heart rate

D  Dry mouth

A  Baclofen

B  Diazepam

C  Cyclobenzaprine

D  Dantrolene

A  Midazolam

B  Ramelteon

C  Alprazolam

D  Eszopiclone

A  Sleepwalking

B  Bedwetting

C  Increased body weight

D  Increased perspiration

A  Relief of nerve pain

B  Prevention of lightheadedness

C  Reduction of muscle rigidity

D  Reduction of choreiform movement

A  Narrow-angle glaucoma

B  Epileptic disease

C  Cardiac disease

D  Drug allergy

A  Long-acting barbiturates

B  Intermediate-acting barbiturates

C  Ultra-short-acting barbiturates

D  Short-acting barbiturates

A  Daytime fatigue

B  Bedwetting

C  Sleepwalking

D  Vivid dreams

A  Relaxation

B  Deep sleep

C  Sleepwalking

D  Dozing

A  Zolpidem

B  Eszopiclone

C  Ramelteon

D  Zaleplon

A  Provide another prescribed medication.

B  Administer a second dose.

C  Continue to monitor consciousness for 2 minutes.

D  Administer four doses at 15-second intervals.