GALEN NUR 210 EXAM 1 MODULES 1-
3 QUESTIONS WITH VERIFIED
ANSWERS
Food-drug interactions - Answer-•Grapefruit juice (increases drug potency), Warfarin
(leafy vegetables)
Changes that take place with aging - Answer-•decreased kidney, liver function, GI
changes, body composition, malnourished
Polypharmacy - Answer-•5 more more medication/pharmacies
adherence - Answer-•Cost, hearing, sight, organization, timing, side effects,
knowledge
rights of med administration - Answer-Right drug
Right dose
Right client
Right route
Right time
Right documentation
3 checks of drug administration - Answer-Pulling medication, MAR, bedside
Non-pharmacological methods for sleep - Answer-No:
daytime naps
Caffeine
Alcohol
Nicotine
Heavy meals
Yes:
Warm bath
Warm milk
Relaxing music
Sedatives / Hypnotics - Answer-Sedatives
mildest form of CNS depressant
daytime to produce anxiety relieve
avoid if severe respiratory disorder
barbiturates
Benzodiazepines
Nonbenzodiazepines
Hypnotics
Nighttime
Can become dependent
Anesthetics - Answer-Work to promote CNS depression
, Barbiturates - Answer-•Many side effects
•Not first choice
•Highly sedating
•Used for seizures
•Maintaining sleep
•Procedural sedation
Benzodiazepines - Answer-•Midazolam, Alprazolam
•Antianxiety, sleep
Nonbenzodiazepines - Answer-Zolpidem
Short term treatment of insomnia
local anesthesia - Answer-•Lidocaine
•Rapid onset
•Long duration
•Topical, Cream, Sprays
•Dental
•sutures
general anesthesia - Answer-•Inhalation
•Nitrous oxide
•IV
•Midazolam and propofol (white in color, endo procedures, effects reverse quickly)
•Spinal/epidural anesthesia - Answer-•Blocks
•Watch respiratory system
•Side effect:
•Headache
•Hypotension: patient to lay flat after, increase fluids
Anesthetics - Answer-•Major adverse effects are on respiratory and cardiovascular
system
•Goal is balanced anesthesia
•Combination of drugs
Midazolam (Versed) - Answer-Classification: benzodiazepine
Uses: anxiety, pre-op sedation, sleep disorders
Side Effects: lethargy, drowsiness, dizziness, blurred vision, headache
Adverse Effects: hypotension, depression, dependence, liver failure
Contraindications: respiratory depression, allergy
Interactions: other CNS depressants, alcohol Eval/Monitor/Teach: monitor for signs
of depression/ suicidal ideation, monitor renal/ hepatic function, use caution in older
adults
Alprazolam (Xanax) - Answer-Classification: benzodiazepine
Uses: anxiety, pre-op sedation, sleep disorders
Side Effects: lethargy, drowsiness, dizziness, blurred vision, headache
Adverse Effects: hypotension, depression, dependence, liver failure
3 QUESTIONS WITH VERIFIED
ANSWERS
Food-drug interactions - Answer-•Grapefruit juice (increases drug potency), Warfarin
(leafy vegetables)
Changes that take place with aging - Answer-•decreased kidney, liver function, GI
changes, body composition, malnourished
Polypharmacy - Answer-•5 more more medication/pharmacies
adherence - Answer-•Cost, hearing, sight, organization, timing, side effects,
knowledge
rights of med administration - Answer-Right drug
Right dose
Right client
Right route
Right time
Right documentation
3 checks of drug administration - Answer-Pulling medication, MAR, bedside
Non-pharmacological methods for sleep - Answer-No:
daytime naps
Caffeine
Alcohol
Nicotine
Heavy meals
Yes:
Warm bath
Warm milk
Relaxing music
Sedatives / Hypnotics - Answer-Sedatives
mildest form of CNS depressant
daytime to produce anxiety relieve
avoid if severe respiratory disorder
barbiturates
Benzodiazepines
Nonbenzodiazepines
Hypnotics
Nighttime
Can become dependent
Anesthetics - Answer-Work to promote CNS depression
, Barbiturates - Answer-•Many side effects
•Not first choice
•Highly sedating
•Used for seizures
•Maintaining sleep
•Procedural sedation
Benzodiazepines - Answer-•Midazolam, Alprazolam
•Antianxiety, sleep
Nonbenzodiazepines - Answer-Zolpidem
Short term treatment of insomnia
local anesthesia - Answer-•Lidocaine
•Rapid onset
•Long duration
•Topical, Cream, Sprays
•Dental
•sutures
general anesthesia - Answer-•Inhalation
•Nitrous oxide
•IV
•Midazolam and propofol (white in color, endo procedures, effects reverse quickly)
•Spinal/epidural anesthesia - Answer-•Blocks
•Watch respiratory system
•Side effect:
•Headache
•Hypotension: patient to lay flat after, increase fluids
Anesthetics - Answer-•Major adverse effects are on respiratory and cardiovascular
system
•Goal is balanced anesthesia
•Combination of drugs
Midazolam (Versed) - Answer-Classification: benzodiazepine
Uses: anxiety, pre-op sedation, sleep disorders
Side Effects: lethargy, drowsiness, dizziness, blurred vision, headache
Adverse Effects: hypotension, depression, dependence, liver failure
Contraindications: respiratory depression, allergy
Interactions: other CNS depressants, alcohol Eval/Monitor/Teach: monitor for signs
of depression/ suicidal ideation, monitor renal/ hepatic function, use caution in older
adults
Alprazolam (Xanax) - Answer-Classification: benzodiazepine
Uses: anxiety, pre-op sedation, sleep disorders
Side Effects: lethargy, drowsiness, dizziness, blurred vision, headache
Adverse Effects: hypotension, depression, dependence, liver failure
