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pharm chapter 14
chapter 14
25
Pharmacology
Undergraduate 1
10/24/2011

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Term
The client tells the nurse he worries about everything all day, feels confused, restless, and just can’t stop worrying. What is the best response by the nurse?
Definition
You have generalized anxiety; I will teach you some relaxation techniques.”
Term
The nurse has completed group education for clients with anxiety disorders. The education is evaluated as successful when the clients make which statements? Select all that apply.
Definition
1.“Antianxiety medicine should not be used indefinitely.”
2.“Relaxation techniques will often decrease anxiety.”
3.“We need therapy to learn where this anxiety comes from.”
Term
3 The client tells the nurse that she is interested in the human brain, and questions which parts of the brain control anxiety and insomnia. What is the best reply by the nurse?
Definition
“The limbic system and reticular activating system.”
Term
The client tells the nurse “I am really confused after talking to my doctor. He said I would be taking different kinds of medications for my anxiety and insomnia. Will you please explain it?” What is the best response by the nurse? Select all that apply.
Definition
1.“You will be taking medications known as sedative-hypnotics.”
2.“You will be taking medications known as benzodiazepines.”
5.“You will be taking medications known as antidepressants.”
Term
The client has generalized anxiety disorder. He asks the nurse “Will I need medication for this? My neighbor is very nervous and he takes medication.” What is the best response by the nurse?
Definition
“Medication is necessary when anxiety interferes with your quality of life.”
Term
The client has been treated by the same physician for two years and has had insomnia the entire time. Many different medications have been tried with limited success. What should be the nurse’s primary assessment at this time?
Definition
Assess for a primary sleep disorder such as sleep apnea.
Term
The client is scheduled to have an EEG to confirm the presence of a sleep disorder. The client asks the nurse to describe Stage IV NREM sleep. What is the best response by the nurse?
Definition
“This is the deepest stage of sleep; without it you will be tired and depressed.”
Term
The client has been taking lorazepam (Ativan) for two years. The client stopped this medication after a neighbor said the drug manufacturer’s plant was contaminated with rat droppings. What best describes the nurse’s assessment of the client when seen three days after stopping his medication?
Definition
Increased heart rate, fever, and muscle cramps.
Term
The client comes to the emergency department after an overdose of lorazepam (Ativan). The nurse will plan to administer which medication?
Definition
Flumazenil (Romazicon)
Term
The nurse works with a physician who frequently prescribes benzodiazepines. The use of benzodiazepines in which client would cause the nurse the most concern?
Definition
An 87-year-old client who uses a cane for ambulation.
Term
The nurse has completed medication education for the anxious client who is receiving buspirone (BuSpar). The nurse determines that the client needs additional instruction when the client makes which statement?
Definition
“I can take this medication when I feel anxious and it will relax me.”
Term
The client is receiving zolpidem (Ambien) for treatment of short-term insomnia. What is the primary safety concern of the nurse when the client takes this medication?
Definition
Sleepwalking
Term
The client is receiving escitalopram (Lexapro) for treatment of generalized anxiety disorder. The client asks the nurse “I am just nervous, not depressed. Why am I taking an antidepressant medicine?” What is the best response by the nurse?
Definition
“The same brain chemicals are involved with anxiety as well as depression, and these medications are very safe.”
Term
The client has been receiving escitalopram (Lexapro) for treatment of obsessive-compulsive disorder. Unknown to the nurse, the client has also been self-medicating with St. John’s wort. The client comes to the office with symptoms of hyperthermia and diaphoresis. Which statement best describes the result of the nurse’s assessment?
Definition
The client has combined two antidepressant medications and is experiencing serotonin syndrome.
Term
The client is receiving clonazepam (Klonopin) for the treatment of panic attacks. What is an important medication outcome for this client as it relates to safety?
Definition
The client will verbalize the consequences of stopping the drug abruptly.
Term
An individual who has difficulty sleeping due to two final examinations scheduled for the same day later in the week most likely would be suffering from:
Definition
Situational anxiety.
Term
The most productive way of managing stress would be to
Definition
Determine the cause and address it accordingly.
Term
Which area of the brain is primarily responsible for maintaining sleep and wakefulness?
Definition
1. Reticular activating system
Term
Which drug category can be used for treating anxiety?
Definition
3. Seizure drugs
Term
Benzodiazepines are often the drug of choice for managing anxiety and insomnia. Which statement best explains why?
Definition
2. Benzodiazepines have the lowest risk of dependency and tolerance.
Term
Which of the following common adverse effects of selective serotonin reuptake inhibitors (SSRIs) would be stressed by the nurse during patient discharge?
Definition
2. Weight gain and sexual dysfunction
Term
Which sleep stage accounts for about one-half of total sleep?
Definition
2. NREM sleep stage 2
Term
A patient taking which of the following medications should avoid foods high in tyramine?
Definition
3. MAOIs
Term
Which statement regarding the use of zolpidem (Ambien) for insomnia is accurate?
Definition
Ambien will take longer to produce an effect when taken with food.
Term
Which explanation best indicates why barbiturates are rarely used to treat anxiety and insomnia?
Definition
They produce many serious adverse effects
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