NSG 552 Exam 2 | Questions and Answers | 2025 Update | 100%
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NSG 552 Exam 2
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ptsd
,5/30/25, 12:39 AM NSG 552 Exam 2
asthma, copd, pulmonary embolism,
porphyria, diabetes
pneumonia
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2 of 55
Term
What medications can be used for sleep onset?
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SSRIs - target comorbid depressive and PTSD symptoms
Prazosin - nightmares
Naltrexone (Vivitrol) - opioid agonist used to reduce self-injurious behaviors
Suvorexant (Belsomra) - Dual orexin receptor antagonist (DORA)
Eszopiclone (Lunesta) - non-benzo hypnotic
Zolpidem (Ambien) - non-benzo hypnotic
Temazepam (Restoril) - benzodiazepine
Doxepin (silenor) - TCA
First line - SSRI
Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation with buspirone (Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), venlafaxine (Effexor)
,5/30/25, 12:39 AM NSG 552 Exam 2
Eszopiclone (Lunesta) - non-benzo hypnotic
Zaleplon (Sonata) - non-benzo hypnotic
zolpidem (Ambien) - non-benzo hypnotic
Triazolam (Halcion) - benzodiazepine and controlled substance
Temazepam (Restoril) - benzodiazepine
Ramelteon (Rozerem) - melatonin receptor agonist
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3 of 55
Term
What are the characteristics of restless leg syndrome (RLS)?
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Sodium oxalate - avoid use with alcohol or other CNS depressants
TCA - imipramine (Tofranil), desipramine (Norpramin), clomipramine (Anafranil)
Similar to alcohol withdrawal
insomnia, anxiety, hand tremors, irritability, anorexia, N/V, Autonomic hyperactivity
(diaphoresis, tachycardia, HTN), tonic-clonic seizures which are life-threatening
Abrupt abstinence after chronic use is life-threatening
urge to move legs accompanied by unpleasant sensations in the legs
relief with movement, aggravation with inactivity
worse in the evening
1.5-2 times more likely in males
, 5/30/25, 12:39 AM NSG 552 Exam 2
First line - SSRI
Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation with buspirone (Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), ve nlaf aDxoi nn 'et k(nEoffwe?xor)
4 of 55
Term
Why are benzodiazepines not always the best choice of medicatioon
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hyperthyroidism, hypothyroidism, Cushing's disease, Addison's disease, menopause
pheochromocytoma
potential for abuse and addition
may become physically dependent
may build tolerance
Similar to alcohol withdrawal
insomnia, anxiety, hand tremors, irritability, anorexia, N/V, Autonomic hyperactivity
(diaphoresis, tachycardia, HTN), tonic-clonic seizures which are life-threatening
Abrupt abstinence after chronic use is life-threatening
weight loss, avoidance of alcohol, CPAP, uvulopalatopharyngoplasty
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