Chapter 20. Sleep Medicine
MULTIPLE CHOICE
1. The nurse finds that a patient is extremely agitated, yells frequently, and is attempting to
get out of bed without assistance. What is the nurses initial action?
a. Administer zolpidem after taking the patients vital signs.
b. Close the patients door for privacy after administering Tylenol.
c. Administer benzodiazepine before calling the health care
provider. d. Spend uninterrupted time listening to the patient.
ANS: D
Assessing the patients level of anxiety is important. The patient may only need someone to
listen to what stressors he or she is facing. The nurse must assess the patient before medication
can be administered.
2. An older child patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse
discovers that the patient has removed her gown and is attempting to get out of bed without
assistance. What type of medication effect is the patient exhibiting?
a. Allergic
b.
Hypersensitivity c.
Paradoxical
d. Therapeutic
ANS: C
A paradoxical effect may occur in older adult patients. This includes periods of excitement,
confusion, restlessness, and euphoria. Allergies to medications tend to manifest in skin or
respiratory symptoms. A patient who is hypersensitive to a hypnotic would be difficult to
rouse. A therapeutic effect for a hypnotic would be sedation.
3. For what conditions are benzodiazepines prescribed?
a. Chronic amnesia
b. Chronic insomnia
, c. Preoperative sedation
d. Psychotic episodes
ANS: C
MULTIPLE CHOICE
1. The nurse finds that a patient is extremely agitated, yells frequently, and is attempting to
get out of bed without assistance. What is the nurses initial action?
a. Administer zolpidem after taking the patients vital signs.
b. Close the patients door for privacy after administering Tylenol.
c. Administer benzodiazepine before calling the health care
provider. d. Spend uninterrupted time listening to the patient.
ANS: D
Assessing the patients level of anxiety is important. The patient may only need someone to
listen to what stressors he or she is facing. The nurse must assess the patient before medication
can be administered.
2. An older child patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse
discovers that the patient has removed her gown and is attempting to get out of bed without
assistance. What type of medication effect is the patient exhibiting?
a. Allergic
b.
Hypersensitivity c.
Paradoxical
d. Therapeutic
ANS: C
A paradoxical effect may occur in older adult patients. This includes periods of excitement,
confusion, restlessness, and euphoria. Allergies to medications tend to manifest in skin or
respiratory symptoms. A patient who is hypersensitive to a hypnotic would be difficult to
rouse. A therapeutic effect for a hypnotic would be sedation.
3. For what conditions are benzodiazepines prescribed?
a. Chronic amnesia
b. Chronic insomnia
, c. Preoperative sedation
d. Psychotic episodes
ANS: C
