Mastery EAQ Ch. 12

A  0.2 mg (2 mL) IV over 60 seconds

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

C  0.5 mg (5 mL) IV over 30 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  Ramelteon

B  Alprazolam

C  Eszopiclone

D  Zaleplon

A  The half-life of flumazenil is short.

B  A high dose of flumazenil was given.

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

D  Alcohol was consumed with the benzodiazepines.

A  Level of consciousness

B  Indicators of infection

C  Amount of bleeding

D  Muscle spasms

A  Seizure precautions

B  Antidote preparation

C  Comfort measures

D  Airway maintenance

A  Monitoring the patient’s renal and hepatic function

B  Monitoring for suicidal tendencies

C  Encouraging the patient to drink more fluids

D  Assessing the patient’s risk for injury or falls

A  Pentobarbital

B  Zaleplon

C  Baclofen

D  Diazepam

A  Alprazolam

B  Temazepam

C  Clonazepam

D  Eszopiclone

A  Kidney dysfunction

B  Narrow-angle glaucoma

C  Liver dysfunction

D  Bronchial asthma

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

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

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  “Report palpitations to the primary health care provider.”

B  “Take the medication with food or milk.”

C  “Allow at least 8 hours for sleep.”

D  “Expect and prepare for a daytime hangover.”

A  Hypotension, Status epilepticus, Pregnancy

B  Hypotension, Drug allergy, Status epilepticus

C  Significant respiratory difficulties, Hypotension, Status epilepticus

D  Pregnancy, Drug allergy, Significant respiratory difficulties

A  Phenobarbital

B  Thiopental

C  Butabarbital

D  Pentobarbital

A  Increases pain associated with activities

B  Produces drowsiness, lethargy, and blurred vision

C  Impairs coordinated movements

D  Causes gastrointestinal distress

A  Take the drug 30 minutes before sleeping.

B  Drink coffee or tea in the morning.

C  Use the lowest effective dosage.

D  Avoid using this drug to induce sleep.

A  Tonic-clonic seizure

B  Respiratory arrest

C  Malignant hyperthermia

D  Delirium tremens

A  Request a prescription to increase the dosage of pentobarbital.

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  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 should avoid exercise just before going to bed.”

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

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, Ramelteon, Midazolam

C  Zolpidem, Diazepam, Midazolam

D  Diazepam, Midazolam, Eszopiclone

A  Drink lactose-free milk at bedtime.

B  Use home remedies of vegetables and herbs.

C  Go to acupuncture therapy.

D  Take lower doses of benzodiazepines.

A  Infusion without dilution

B  Intravenous infiltration

C  Infusion of other drugs

D  Infusion that is too rapid

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

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

C  Degree of patient responsiveness to the drug given

D  Degree of inhibition of nerve impulse transmission to the CNS

A  Ipecac syrup

B  Flumazenil

C  Activated charcoal

D  Naloxone

A  Dyspnea

B  Alertness

C  Ataxia

D  Hallucinations

A  Temazepam

B  Diazepam

C  Midazolam

D  Flurazepam

A  Avoiding alcohol at bedtime

B  Sleeping more during the day

C  Establishing a set sleep pattern

D  Avoiding tobacco at bedtime

A  Zaleplon

B  Diazepam

C  Pentobarbital

D  Ramelteon

A  The patient is experiencing benzodiazepine toxicity.

B  The patient was administered azole along with benzodiazepine.

C  The patient is experiencing a muscle-relaxant overdose.

D  The patient is experiencing a barbiturate overdose.

A  Phenylephrine at a maximum dose of 2 mg

B  Flumazenil at a maximum dose of 3 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  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  Furosemide

C  Olanzapine

D  Activated charcoal

A  Increased daytime sleepiness

B  Prolonged benzodiazepine action

C  Decreased benzodiazepine effects

D  Increased central nervous system (CNS) depression

A  Phenobarbital

B  Mephobarbital

C  Butabarbital

D  Pentobarbital

A  Ceftriaxone

B  Sulfamethoxazole

C  Phenobarbital

D  Oxytocin

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

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

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  Flumazenil

C  Rifampin

D  Olanzapine

A  Amnesia

B  Dry mouth

C  Constipation

D  Decreased heart rate

A  Dantrolene

B  Diazepam

C  Baclofen

D  Cyclobenzaprine

A  Ramelteon

B  Midazolam

C  Alprazolam

D  Eszopiclone

A  Increased body weight

B  Increased perspiration

C  Bedwetting

D  Sleepwalking

A  Reduction of choreiform movement

B  Relief of nerve pain

C  Reduction of muscle rigidity

D  Prevention of lightheadedness

A  Narrow-angle glaucoma

B  Epileptic disease

C  Cardiac disease

D  Drug allergy

A  Short-acting barbiturates

B  Long-acting barbiturates

C  Ultra-short-acting barbiturates

D  Intermediate-acting barbiturates

A  Sleepwalking

B  Bedwetting

C  Daytime fatigue

D  Vivid dreams

A  Deep sleep

B  Relaxation

C  Dozing

D  Sleepwalking

A  Ramelteon

B  Zaleplon

C  Zolpidem

D  Eszopiclone

A  Administer a second dose.

B  Administer four doses at 15-second intervals.

C  Continue to monitor consciousness for 2 minutes.

D  Provide another prescribed medication.