Take Quiz: Quiz for Drug That Affect Insomnia

Question 1

The nurse should assess a client who is taking lorazepam (Ativan) for the development of which of these adverse effects?*

A. Tachypnea

B. Astigmatism

C. Ataxia

D. Euphoria

Question 2

Which of the following is most effective in the treatment of peptic ulcer disease?*

A. Bromocriptine

B. Cimetidine

C. Ergotamine

D. Ketanserin

Question 3

Mechanically, which of the following drugs will decrease stomach acid secretion by blockade of H2 histaminic receptors?*

A. Pyrilamine

B. Hydroxyzine

C. Cisapride

D. Omeprazole

E. Ranitidine

Question 4

Following administration of phenylephrine (Neo-Synephrine), the nurse would assess for which of the following adverse drug effects?*

A. Insomnia, nervousness, and hypertension

B. Nausea, vomiting, and hypotension

C. Dry mouth, drowsiness, and dyspnea

D. Increased bronchial secretions, hypotension, and bradycardia

Question 5

Anticholinergics may be ordered for which of the following conditions? (Select all that apply.)*

A. Peptic ulcer disease

B. Bradycardia

C. Decreased sexual function

D. Irritable bowel syndrome

E. Urine retention

Question 6

A client is receiving temazepam (Restoril). Which of these responses should a nurse expect the client to have if the medication is achieving the desired effect?*

A. The client sleeps in 3-hour intervals, awakens for a short time, and then falls back to sleep.

B. The client reports feeling less anxiety during activities of daily living.

C. The client reports having fewer episodes of panic attacks when stressed.

D. The client reports sleeping 7 hours without awakening

Question 7

A 32-year-old female client has been taking lorazepam (Ativan) for her anxiety and is brought into the emergency department after taking 30 days’ worth at one time. What antagonist for benzodiazepines may be used in this case?*

A. Epinephrine

B. Atropine

C. Flumazenil

D. Naloxone

Question 8

Education given to clients about the use of all drugs to treat insomnia should include an emphasis on what important issue?*

A. They will be required long-term to achieve lasting effects.

B. They require frequent blood counts to avoid adverse effects.

C. They are among the safest drugs available and have few adverse effects.

D. Long-term use may increase the risk of adverse effects, create a “sleep debt,” and cause rebound insomnia when stopped.

Question 9

Zolpidem (Ambien) has been ordered for a client for the treatment of insomnia. What information will the nurse provide for this client? (Select all that apply.)*

A. Be cautious when performing morning activities because it may cause a significant “hangover” effect with drowsiness and dizziness.

B. Take the drug with food; this enhances the absorption for quicker effects.

C. Take the drug immediately before going to bed; it has a quick onset of action.

D. If the insomnia is long-lasting, this drug may safely be used for up to one year.

E. Alcohol and other drugs that cause CNS depression (e.g., antihistamines) should be avoided while taking this drug.

Question 10

A 17-year-old client has been prescribed escitalopram (Lexapro) for increasing anxiety uncontrolled by other treatment measures. Because of this client’s age, the nurse will ensure that the client and parents are taught what important information?*

A. Cigarette smoking will counteract the effects of the drug.

B. Signs of increasing depression or thoughts of suicide should be reported immediately.

C. The drug causes dizziness and alternative schooling arrangements may be needed for the first two months of use.

D. Anxiety and excitability may increase during the first two weeks of use but then will have significant improvement.