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NURS 317 Unit 5 Questions With Correct Solutions

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NURS 317 Unit 5 Questions With Correct Solutions

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NURS 317 Unit 5 Questions With Correct Solutions
The nurse is caring for a patient in a state of hypnosis, which means the patient is in what

state?

A) A state of extreme sedation in which the person no longer senses or reacts to incoming

stimuli.

B) A state of tranquility in which the person can be made to do whatever is suggested by

others.

C) A feeling of tension, nervousness, apprehension, or fear with high levels of awareness.

D) A state in which the brain is no longer sending out signals to the body.

A) A state of extreme sedation in which the person no longer senses or reacts to incoming

stimuli.

Hypnosis is an extreme state of sedation in which the person no longer senses or reacts to

incomingstimuli. A state of tranquility is produced through minor tranquilizers by decreasing

anxiety. Anxiety isa feeling of tension, nervousness, apprehension, or fear. Sedation is the loss of

awareness and reactionto environmental stimuli, which may lead to drowsiness. The state of

suggestibility often seen in television programs is not an appropriate definition of hypnosis. If

the brain stopped sending signals, the patient would stop breathing and death would follow.

A nurse is caring for a 4-year-old child who is receiving a barbiturate. What common

adverse effect would the nurse assess for?

A) Decrease in respirations

B) Vomiting

C) Excitability

D) Dry mucous membranes

,C) Excitability

The barbiturates, being older drugs, have established pediatric dosages. These drugs must be

used withcaution because of the often unexpected responses. Children must be monitored very

closely for centralnervous system (CNS) depression and excitability. The most common adverse

effects are related togeneral CNS depression. Other CNS effects may include drowsiness,

somnolence, lethargy, ataxia,vertigo, a feeling of a hangover, thinking abnormalities, paradoxical

excitement, anxiety, andhallucinations. Alteration in respirations and dried mucous membranes

are adverse effects of antihistamines, which can be given to calm children or induce sleep.

Vomiting could occur with the useof paraldehyde due to the unpleasant taste and odor of the

drug.

The nurse is caring for a patient in a state of hypnosis, which means the patient is in what

state?

A) A state of extreme sedation in which the person no longer senses or reacts to incoming

stimuli.

B) A state of tranquility in which the person can be made to do whatever is suggested by

others.

C) A feeling of tension, nervousness, apprehension, or fear with high levels of awareness.

D) A state in which the brain is no longer sending out signals to the body

A

Ans: A

Feedback:

Hypnosis is an extreme state of sedation in which the person no longer senses or reacts to

incoming

,stimuli. A state of tranquility is produced through minor tranquilizers by decreasing anxiety.

Anxiety is

a feeling of tension, nervousness, apprehension, or fear. Sedation is the loss of awareness and

reaction

to environmental stimuli, which may lead to drowsiness. The state of suggestibility often seen in

television programs is not an appropriate definition of hypnosis. If the brain stopped sending

signals,

the patient would stop breathing and death would follow

A nurse is caring for a 4-year-old child who is receiving a barbiturate. What common

adverse effect

would the nurse assess for?

A) Decrease in respirations

B) Vomiting

C) Excitability

D) Dry mucous membranes

Ans: C

Feedback:

The barbiturates, being older drugs, have established pediatric dosages. These drugs must be

used with

caution because of the often unexpected responses. Children must be monitored very closely for

central

nervous system (CNS) depression and excitability. The most common adverse effects are related

to

, general CNS depression. Other CNS effects may include drowsiness, somnolence, lethargy,

ataxia,

vertigo, a feeling of a hangover, thinking abnormalities, paradoxical excitement, anxiety, and

hallucinations. Alteration in respirations and dried mucous membranes are adverse effects of

antihistamines, which can be given to calm children or induce sleep. Vomiting could occur with

the use

of paraldehyde due to the unpleasant taste and odor of the drug.

A nurse is caring for a 9-year-old patient and has received an order for diazepam (Valium)

10 mg given

orally q.i.d. What is the nurse's priority action?

A) Perform hand hygiene and prepare the drug.

B) Send the order to the hospital pharmacy.

C) Determine when to administer the first dose.

D) Call the physician and question the order.

Ans: D

Feedback:

The first action of the nurse would be to call the physician and question the order. The normal

oral

dosage for a pediatric patient is 1 to 2.5 mg t.i.d. or q.i.d. The ordered dose would be unsafe for

this

patient. If the dosage was changed and the correct amount administered, the nurse would order

the

medication from the pharmacy if necessary and determine what time to start the medication. She

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