Which nursing diagnosis is appropriate for a patient who has received a sedative-hypnotic agent
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Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Choose the letter of the correct answer. You have 30 minutes to finish this exam. Good luck! Congratulations - you have completed MSN NCLEX Exam for Sleep Disorder (EM). You scored %%SCORE%% out of
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Text Mode – Text version of the exam 1. To validate the suspicion that a married male client has sleep apnea the nurse first:
2. When analgesics are ordered for a client with obstructive sleep apnea (OSA) following surgery, the nurse is most concerned about:
3. The nurse finds a client sleep walking down the unit hallway. An appropriate intervention the nurse implements is:
4. The nurse is sure to implement strategies to reduce noise on the unit particularly on the ______ night of admission, when the client is especially sensitive to hospital noises.
5. Which of the following medications are the safest to administer to adults needing assistance in falling asleep?
6. To assist an adult client to sleep better the nurse recommends which of the following? (Select all that apply.)
7. The nurse recognizes that a client is experiencing insomnia when the client reports (select all that apply):
8. The nurse teaches the mother of a newborn that in order to prevent sudden infant death syndrome (SIDS) the best position to place the baby after nursing is (select all that apply):
9. When assessing a client for obstructive sleep apnea (OSA), the nurse understands the most common symptom is:
10. The nurse understands that the most vivid dreaming occurs during:
11. A client taking a beta adrenergic blockers for HTN can experience interference with sleep patterns such as:
12. Narcolepsy can be best explained as:
13. A nursing measure to promote sleep in school-age children is to:
14. A female client verbalizes that she has been having trouble sleeping and feels wide awake as soon as getting into bed. The nurse recognizes that there are many interventions the promote sleep. Check all that apply.
15. A client has a diagnosis of primary insomnia. Before assessing this client, the nurse recalls the numerous causes of this disorder. Select all that apply:
16. A hospitalized client is prescribed chloral hydrate (Noctec). The nurse includes which action in the plan of care?
17. Select all that apply to the use of barbiturates in treating insomnia:
18. Select all that apply that is appropriate when there is a benzodiazepine overdose:
19. A patient is admitted to the emergency department with an overdose of a benzodiazepine. The nurse immediately prepares to administer which of the following antidotes from the emergency drug cart?
20. Older adults who take long-acting sedatives or hypnotics are likely to experience:
21. Which nursing diagnosis is appropriate for a patient who has received a sedative-hypnotic agent?
22. A patient is admitted to the emergency department with an overdose of a barbiturate. The nurse immediately prepares to administer which of the following from the emergency drug cart?
23. During patient teaching, the nurse explains the difference between a sedative and hypnotic by stating:
24. The patient’s chart notes the administration of dantrolene (Dantrium) immediately postoperatively. The nurse suspects that the patient experienced:
25. Which of the following is an important nursing action for the administration of a benzodiazepine as a sedative-hypnotic agent?
26. Pediatric and geriatric patients often react with more sensitivity to CNS depressants. This type of sensitivity manifests itself in the development of which type of reaction?
27. Which of the following is an appropriate nursing intervention for patients who are receiving CNS depressants?
28. Which of the following conditions characterizes rapid eye movement (REM) sleep?
29. Which of the following sleep disorders is the most prevalent?
30. Which of the following substances is a natural hormone produced by the pineal gland that induces sleep?
What is a common adverse reaction to sedativeLoss of memory and confusion have been reported with older sedative hypnotics such as triazolam and newer sedatives such as zolpidem in patients of all ages. The risk for these events may be even higher in elderly patients.
Which of the following is a sedativeA: There are two main types of sedative-hypnotics – benzodiazepines and Z-drugs. Common benzodiazepines include Xanax (alprazolam), Librium (chlordiazepoxide), Valium (diazepam), and Ativan (lorazepam). Common Z-drugs include Ambien (zolpidem), Lunesta (eszopiclone), and Sonata (zaleplon).
What is the effect of sedativesedative-hypnotic drug, chemical substance used to reduce tension and anxiety and induce calm (sedative effect) or to induce sleep (hypnotic effect). Most such drugs exert a quieting or calming effect at low doses and a sleep-inducing effect in larger doses.
What is the indication for the hypnotic drug?Abstract. Insomnia may be categorized as difficulty falling asleep, frequent awakening, early awakenings or a combination of each. The ideal hypnotic must promote rapid sleep onset and maintain sleep throughout the night while allowing the patient to awake refreshed the following day.
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