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Questions and Answers
What waves are characteristic of the first stage of sleep?
What waves are characteristic of the first stage of sleep?
Which sleep stage experiences the greatest reduction as individuals age?
Which sleep stage experiences the greatest reduction as individuals age?
What should be monitored when a patient is prescribed lorazepam?
What should be monitored when a patient is prescribed lorazepam?
What is the primary risk associated with insufficient sleep?
What is the primary risk associated with insufficient sleep?
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Which type of brain waves are described as having the highest amplitude?
Which type of brain waves are described as having the highest amplitude?
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Which medication does not necessarily need to be taken with food?
Which medication does not necessarily need to be taken with food?
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What is a common consequence of rapid discontinuation of lorazepam after prolonged use?
What is a common consequence of rapid discontinuation of lorazepam after prolonged use?
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What percentage of normal sleep time does Stage II comprise?
What percentage of normal sleep time does Stage II comprise?
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What is the risk associated with the long-term use of benzodiazepines?
What is the risk associated with the long-term use of benzodiazepines?
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What laboratory tests should be conducted for a patient on diazepam presenting with nausea, vomiting, and jaundice?
What laboratory tests should be conducted for a patient on diazepam presenting with nausea, vomiting, and jaundice?
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Which statement accurately reflects the effect of sedatives preoperatively?
Which statement accurately reflects the effect of sedatives preoperatively?
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Which two phases constitute normal sleep?
Which two phases constitute normal sleep?
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Why are benzodiazepines not recommended for chronic insomnia treatment?
Why are benzodiazepines not recommended for chronic insomnia treatment?
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What adverse effects are specifically linked to the usage of benzodiazepines?
What adverse effects are specifically linked to the usage of benzodiazepines?
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What is an incorrect statement regarding the effects of sedatives?
What is an incorrect statement regarding the effects of sedatives?
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What is a primary consideration in assessing a patient on benzodiazepines?
What is a primary consideration in assessing a patient on benzodiazepines?
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Which condition is not associated with a lack of sleep?
Which condition is not associated with a lack of sleep?
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What nursing action can best assist an older patient with insomnia due to relocation?
What nursing action can best assist an older patient with insomnia due to relocation?
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Which statement accurately describes the action of sedatives?
Which statement accurately describes the action of sedatives?
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What is the purpose of performing a back massage for a patient experiencing insomnia?
What is the purpose of performing a back massage for a patient experiencing insomnia?
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Which of the following is true regarding the effects of sedatives on sleep?
Which of the following is true regarding the effects of sedatives on sleep?
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A patient takes diphenhydramine for insomnia related to job stress. What should the nurse inform the patient?
A patient takes diphenhydramine for insomnia related to job stress. What should the nurse inform the patient?
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What should patients avoid before bedtime to enhance sleep quality?
What should patients avoid before bedtime to enhance sleep quality?
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Which of the following is incorrect about the use of analgesics for insomnia?
Which of the following is incorrect about the use of analgesics for insomnia?
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What is a key reason benzodiazepines are often favored over barbiturates?
What is a key reason benzodiazepines are often favored over barbiturates?
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Which of the following is an adverse effect commonly associated with barbiturates?
Which of the following is an adverse effect commonly associated with barbiturates?
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What symptom is least likely to occur with rapid withdrawal from benzodiazepine therapy?
What symptom is least likely to occur with rapid withdrawal from benzodiazepine therapy?
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Which statement regarding the safety of benzodiazepines compared to barbiturates is true?
Which statement regarding the safety of benzodiazepines compared to barbiturates is true?
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Which symptom is typically NOT associated with barbiturate use?
Which symptom is typically NOT associated with barbiturate use?
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Which of the following is a recognized effect of prolonged benzodiazepine use?
Which of the following is a recognized effect of prolonged benzodiazepine use?
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What should be monitored in patients undergoing withdrawal from long-term benzodiazepine therapy?
What should be monitored in patients undergoing withdrawal from long-term benzodiazepine therapy?
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How do benzodiazepines affect REM sleep compared to barbiturates?
How do benzodiazepines affect REM sleep compared to barbiturates?
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What is the most appropriate initial response by the nurse when encountering a patient exhibiting extreme agitation and attempting to leave bed without assistance?
What is the most appropriate initial response by the nurse when encountering a patient exhibiting extreme agitation and attempting to leave bed without assistance?
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Which of these is a paradoxical effect that might occur in older adult patients taking hypnotic agents?
Which of these is a paradoxical effect that might occur in older adult patients taking hypnotic agents?
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In which situation would the administration of benzodiazepines be indicated?
In which situation would the administration of benzodiazepines be indicated?
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What is the best practice for a nurse when sedating a patient experiencing high levels of anxiety?
What is the best practice for a nurse when sedating a patient experiencing high levels of anxiety?
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What symptom would likely suggest a patient is experiencing a therapeutic effect of a hypnotic medication?
What symptom would likely suggest a patient is experiencing a therapeutic effect of a hypnotic medication?
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What should be monitored when a patient is taking chloral hydrate and warfarin?
What should be monitored when a patient is taking chloral hydrate and warfarin?
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What is a potential misconception of administering benzodiazepines for anxiety management?
What is a potential misconception of administering benzodiazepines for anxiety management?
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What is the primary role of a nurse when a patient is agitated and potentially needs medication?
What is the primary role of a nurse when a patient is agitated and potentially needs medication?
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Why should diphenhydramine not be taken after a high-fat meal?
Why should diphenhydramine not be taken after a high-fat meal?
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What is a potential side effect of taking diphenhydramine for insomnia?
What is a potential side effect of taking diphenhydramine for insomnia?
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Which of the following describes a condition that does NOT indicate a need for benzodiazepines?
Which of the following describes a condition that does NOT indicate a need for benzodiazepines?
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Which of the following statements regarding diphenhydramine is accurate?
Which of the following statements regarding diphenhydramine is accurate?
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What should patients be aware of regarding the use of ramelteon?
What should patients be aware of regarding the use of ramelteon?
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In the context of patient education, how should chloral hydrate be viewed when taken with warfarin?
In the context of patient education, how should chloral hydrate be viewed when taken with warfarin?
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What common symptoms should be observed when a patient is on chloral hydrate and warfarin?
What common symptoms should be observed when a patient is on chloral hydrate and warfarin?
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What is the primary concern when a patient experiences tolerance to antihistamines like diphenhydramine?
What is the primary concern when a patient experiences tolerance to antihistamines like diphenhydramine?
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Flashcards
Alpha Waves
Alpha Waves
Brain waves present during relaxation, increased amplitude, and synchronization.
Stage I Sleep
Stage I Sleep
The initial stage of sleep characterized by theta waves and light sleep.
Delta Waves
Delta Waves
The slowest and highest amplitude brain waves occurring in stages 3 and 4 of sleep.
Aging and Stage IV Sleep
Aging and Stage IV Sleep
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Lorazepam (Ativan) Use
Lorazepam (Ativan) Use
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Insufficient Sleep Effects
Insufficient Sleep Effects
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Sleep Stages Percentage
Sleep Stages Percentage
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Rapid Discontinuance of Benzodiazepines
Rapid Discontinuance of Benzodiazepines
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Benzodiazepines versus Barbiturates
Benzodiazepines versus Barbiturates
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Therapeutic Window
Therapeutic Window
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REM Sleep and Benzodiazepines
REM Sleep and Benzodiazepines
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Adverse Effects of Barbiturates
Adverse Effects of Barbiturates
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Residual Daytime Sedation
Residual Daytime Sedation
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Withdrawal Symptoms of Benzodiazepines
Withdrawal Symptoms of Benzodiazepines
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Insomnia in Older Adults
Insomnia in Older Adults
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Paradoxical Response
Paradoxical Response
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Impaired Coordination
Impaired Coordination
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Effective Nursing Action for Insomnia
Effective Nursing Action for Insomnia
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Caffeine and Sleep
Caffeine and Sleep
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Definition of Sedatives
Definition of Sedatives
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Sedatives vs. Hypnotics
Sedatives vs. Hypnotics
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Sedatives and REM Sleep
Sedatives and REM Sleep
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Diphenhydramine Usage
Diphenhydramine Usage
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Patient Education on Medications
Patient Education on Medications
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Duration of medication use
Duration of medication use
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Nausea from medications
Nausea from medications
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High-fat meal restrictions
High-fat meal restrictions
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Nature of diphenhydramine
Nature of diphenhydramine
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Chloral hydrate effect
Chloral hydrate effect
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Signs of bleeding
Signs of bleeding
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Monitoring prothrombin time
Monitoring prothrombin time
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Ramelteon usage
Ramelteon usage
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Benzodiazepines
Benzodiazepines
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Hepatotoxicity indicators
Hepatotoxicity indicators
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Liver function tests
Liver function tests
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Sedatives
Sedatives
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Normal sleep phases
Normal sleep phases
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Hypnagogic state
Hypnagogic state
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Hypnopompic state
Hypnopompic state
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Benzodiazepine effects
Benzodiazepine effects
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Initial Action for Agitated Patient
Initial Action for Agitated Patient
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Paradoxical Effect in Older Adults
Paradoxical Effect in Older Adults
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Benzodiazepines Purpose
Benzodiazepines Purpose
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Therapeutic Effect of Hypnotics
Therapeutic Effect of Hypnotics
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Assessing Anxiety in Nursing
Assessing Anxiety in Nursing
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Chronic Insomnia
Chronic Insomnia
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Sedative-Hypnotic Agents
Sedative-Hypnotic Agents
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Clinical Judgment in Nursing
Clinical Judgment in Nursing
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Study Notes
Multiple Choice Questions on Sedative Drugs
- Question 1: A patient is extremely agitated and trying to get out of bed. The initial nurse action is to listen to the patient's stressors.
- Question 1 Answer: Spend uninterrupted time listening to the patient.
- Question 2: An older adult patient takes a hypnotic medication at 9:00 PM and is now attempting to get out of bed at 2:00AM without assistance. What is the patient exhibiting?
- Question 2 Answer: Paradoxical effect.
- Question 3: Which condition requires benzodiazepines?
- Question 3 Answer: Pre-operative sedation.
- Question 5: What is a benefit of using sedatives?
- Question 5 Answer: Decreased patient anxiety.
Sleep Stages and Aging
- Question 7: Which sleep stage diminishes with age?
- Question 7 Answer: Stage IV.
Lorazepam (Ativan) Dosage and Administration
- Question 8: How should the nurse administer Lorazepam?
- Question 8 Answer: Assess patient's blood pressure in sitting and lying positions prior to drug administration. Do not instruct the patient to discontinue the medication once sleep improves, The patient should not lie down before taking the medication.
Sedatives and Liver Function
- Question 13 A patient is taking chloral hydrate and warfarin, and presents with ecchymosis. Which lab test should the nurse order?
- Question 13 Answer: Prothrombin time.
- Question 14: How should a patient take Ramelteon?
- Question 14 Answer: Should not be taken with a high fat meal.
Benzodiazepines vs Barbiturates
- Question 1: Why are benzodiazepines sometimes preferred over barbiturates?
- Question 1 Answer: Selective action at specific receptor sites, a wider safety margin between therapeutic and lethal doses, less reduction in REM sleep, and better tolerance in accidental overdoses.
Barbiturates Adverse Effects
- Question 2: What are common adverse effects of barbiturates?
- Question 2 Answer: Residual daytime sedation, headache, blurred vision, and impaired coordination.
Benzodiazepine Withdrawal
- Question 3: What effects can occur with rapid withdrawal from long-term benzodiazepine use?
- Question 3 Answer: Anxiety, delirium, weakness, and grand mal seizures.
CNS Function and Sedatives
- Question 4: What information is needed to assess CNS function following sedative/hypnotic therapy?
- Question 4 Answer: Level of alertness, orientation, ability to perform motor functions, and usual sleep pattern.
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Description
This quiz covers essential topics related to sedative drugs, sleep stages, and the effects of aging on sleep. It also includes crucial information regarding the use and administration of Lorazepam. Test your knowledge and understanding of these important pharmacological concepts.