Focus on Nursing Pharmacology
Chapter 20: Test Bank Anxiolytic and
Hypnotic Agents Final Exam and
Actual Answers.
Barbituates generally depress these parts of the brain - Answer Cortex, RAS and cerebellum
anxiety - Answer Feeling of tension, nervousness, apprehension or fear involving unpleasant
reactions to a stimulus
Sedation - Answer Loss of awareness and reaction to environmental stimuli
Hypnosis - Answer Extreme sedation resulting in further CNS depression and sleep
Benzodiazepine Actions - Answer Act in the limbic system and the RAS
Make GABA more effective
Causes interference with neurons firing
Lower doses cause anxiolytic effects
Higher doses cause sedation and hypnosis
Benzodiazepine Indications - Answer RLS
Seizures
Insomnia
Anxiety and panic disorders
Alcohol withdrawal
Hyperexcitability and agitation
Preoperative relief of anxiety and tension
GABA (gamma-aminobutyric acid) - Answer the primary inhibitory neurotransmitter in the
brain
, Enter breast milk
Metabolized in the liver
Excretion is primarily in the urine
Benzodiazepine Contraindications and Cautions - Answer Allergy to benzodiazepine
Psychosis
Acute narrow angle glaucoma
Shock
Coma
Acute alcohol intoxication
Pregnancy
Caution: Elderly, debilited
Renal and liver dysfunction
Benzodiazepine Adverse Effects - Answer Sedation and lethargy
Drowsiness and depression
Blurred vision and confusion
dry mouth and nausea
constipation and vomiting
hypotension and urinary retention
Benzodiazepine drug to drug - Answer Increased CNS depression when combined with alcohol
increase in effect when taken with cimetidine, oral contraceptives or disulfiram
decrease in effect if given with theophylline or ranitidine
Nursing implications for patients receiving benzodiazepines baseline assessments - Answer
temp and weight
skin color and lesions
affect, orientation, reflexes and vision
pulse, bp, and perfusion or chronic pulmonary disease
bowel sounds
Chapter 20: Test Bank Anxiolytic and
Hypnotic Agents Final Exam and
Actual Answers.
Barbituates generally depress these parts of the brain - Answer Cortex, RAS and cerebellum
anxiety - Answer Feeling of tension, nervousness, apprehension or fear involving unpleasant
reactions to a stimulus
Sedation - Answer Loss of awareness and reaction to environmental stimuli
Hypnosis - Answer Extreme sedation resulting in further CNS depression and sleep
Benzodiazepine Actions - Answer Act in the limbic system and the RAS
Make GABA more effective
Causes interference with neurons firing
Lower doses cause anxiolytic effects
Higher doses cause sedation and hypnosis
Benzodiazepine Indications - Answer RLS
Seizures
Insomnia
Anxiety and panic disorders
Alcohol withdrawal
Hyperexcitability and agitation
Preoperative relief of anxiety and tension
GABA (gamma-aminobutyric acid) - Answer the primary inhibitory neurotransmitter in the
brain
, Enter breast milk
Metabolized in the liver
Excretion is primarily in the urine
Benzodiazepine Contraindications and Cautions - Answer Allergy to benzodiazepine
Psychosis
Acute narrow angle glaucoma
Shock
Coma
Acute alcohol intoxication
Pregnancy
Caution: Elderly, debilited
Renal and liver dysfunction
Benzodiazepine Adverse Effects - Answer Sedation and lethargy
Drowsiness and depression
Blurred vision and confusion
dry mouth and nausea
constipation and vomiting
hypotension and urinary retention
Benzodiazepine drug to drug - Answer Increased CNS depression when combined with alcohol
increase in effect when taken with cimetidine, oral contraceptives or disulfiram
decrease in effect if given with theophylline or ranitidine
Nursing implications for patients receiving benzodiazepines baseline assessments - Answer
temp and weight
skin color and lesions
affect, orientation, reflexes and vision
pulse, bp, and perfusion or chronic pulmonary disease
bowel sounds
