exam
/ //
2 /
practice
/ /
questions with answers
/ // // //
(1)21. //
A /
patient
/ /
presents
/ /
at the emergency department with respiratory depression
/ // // // // // //
and excessive sedation. The
// // // //
family /
tells
/ /
the
/ /
nurse
/ /
that
/ /
the
/ /
patient
/ /
has
/ /
been taking medication throughout the evening and gives
/ // // // // // // //
the
//
nurse /
an
/ /
almost
/ /
,/ empty /
/ bottle /
/ of benzodiazepines. What other adverse effects would the
// // // // // // //
// nurse assess //
this patient for?
// //
A) Seizures
//
B) Tachycardia
//
C) Headache
//
D) Coma - CORRECT ANSWERS(S)✔✔Ans: D
// // // // //
Feedback:
Toxic /
effects
/ /
of
/ /
benzodiazepines
/ /
include
/ /
excessive
/ /
sedation,
/ /
respiratory
/ /
depression,
/ /
and coma. Flumazenil (Anexate) is a specific antidote that
/ // // // // // // // //
competes
// /
with
/ /
benzodiazepines
/ /
for
/ /
benzodiazepine
/ /
receptors
/ /
and
/ /
,/ reverses /
/ toxicity. /
/ Seizures, /
/ tachycardia, /
/ and /
/ headache /
/ would /
/ not normally be associated with benzodiazepine toxicity.
// // // // // //
(1)23. /
The
/ /
nurse
/ /
is
/ /
caring
/ /
for
/ //
a /
patient
/ /
who
/ /
is
/ /
taking
/ //
a benzodiazepine. The nurse knows that caution should
// // // // // // //
be /
used
/ /
when
/ /
administering
/ //
a /
benzodiazepine
/ /
to the elderly because of what possible adverse effect?
/ // // // // // // // //
, A) Acute renal failure
// // //
B) Unpredictable reactions
// //
C) Paranoia
//
D) Hallucinations - CORRECT ANSWERS(S)✔✔Ans: B
// // // // //
Feedback:
Use /
benzodiazepines
/ /
with
/ /
caution
/ /
in elderly or debilitated patients because of the possibility
/ // // // // // // // //
of
//
unpredictable /
reactions
/ /
and
/ /
in
/ /
patients
/ /
with renal or hepatic dysfunction, which may alter the
/ // // // // // // // //
metabolism /
and
/ /
excretion
/ /
of
/ /
these
/ /
drugs,
/ /
resulting
/ /
in direct toxicity. Dosage adjustments usually are
/ // // // // // //
needed /
for
/ /