NRSG 3100 Unit 13 Questions With Complete Solutions
Analgesics/Opioid Agonists medications Correct Answer
Morphine sulfate (Astramorph, Roxanol)
Hydromorphone (Dilaudid)
Fentanyl (Sublimaze)
Meperidine (Demerol)
Anesthetic medications Correct Answer Midazolam (Versed)
Propofol (Diprivan)
Antiepileptic medications Correct Answer Diazepam
(Valium)
Lorazepam (Ativan)
Phenytoin (Dilantin)
Benzodiazepine Reversal medications Correct Answer
Flumazenil (Romazicon)
Convulsions Correct Answer are involuntary, violent spasms
of the large skeletal muscles of the face, neck, arms, and legs.
(Tonic-Clonic seizures)
All of these are seizures but not all seizures are these. (example:
absence seizures)
Diazepam Adverse Effects Correct Answer Most serious is
cardiovascular collapse
Assess for hypotension, tachycardia, and edema
CNS adverse effects (Drowsiness, fatigue, ataxia, vertigo)
Urinary retention and menstrual irregularities
Laryngeal spasm and cough
, Diazepam Contraindications Correct Answer Hypersensitivity
Narrow angle glaucoma
Reduce dose in impaired hepatic and renal function
Pregnancy
Diazepam Drug Interactions Correct Answer Other CNS
depressants enhance sedative effect
Will increase phenytoin levels
Do not administer within 14 days of MAOI (hypertensive crisis)
Grapefruit juice will increase serum levels by as much as two
times
Diazepam Indications Correct Answer Primarily used for
status epilepticus. It may prevent seizures in patients who
received toxic substances, alcohol withdrawal, refractory
seizures, or febrile seizures in children (6 month-5 years).
- Largely replaced in treatment of anxiety by alprazolam and
other, newer medications
- PO, IM, & IV
Diazepam Nursing Considerations Correct Answer Monitor
patients with respiratory disorders closely
Abrupt discontinuation should be avoided
Can cause birth defects and CNS depression in the neonate
Epilepsy Correct Answer a disruption of the activity of
clusters of neurons in the brain that is characterized by two or
more seizures.
Analgesics/Opioid Agonists medications Correct Answer
Morphine sulfate (Astramorph, Roxanol)
Hydromorphone (Dilaudid)
Fentanyl (Sublimaze)
Meperidine (Demerol)
Anesthetic medications Correct Answer Midazolam (Versed)
Propofol (Diprivan)
Antiepileptic medications Correct Answer Diazepam
(Valium)
Lorazepam (Ativan)
Phenytoin (Dilantin)
Benzodiazepine Reversal medications Correct Answer
Flumazenil (Romazicon)
Convulsions Correct Answer are involuntary, violent spasms
of the large skeletal muscles of the face, neck, arms, and legs.
(Tonic-Clonic seizures)
All of these are seizures but not all seizures are these. (example:
absence seizures)
Diazepam Adverse Effects Correct Answer Most serious is
cardiovascular collapse
Assess for hypotension, tachycardia, and edema
CNS adverse effects (Drowsiness, fatigue, ataxia, vertigo)
Urinary retention and menstrual irregularities
Laryngeal spasm and cough
, Diazepam Contraindications Correct Answer Hypersensitivity
Narrow angle glaucoma
Reduce dose in impaired hepatic and renal function
Pregnancy
Diazepam Drug Interactions Correct Answer Other CNS
depressants enhance sedative effect
Will increase phenytoin levels
Do not administer within 14 days of MAOI (hypertensive crisis)
Grapefruit juice will increase serum levels by as much as two
times
Diazepam Indications Correct Answer Primarily used for
status epilepticus. It may prevent seizures in patients who
received toxic substances, alcohol withdrawal, refractory
seizures, or febrile seizures in children (6 month-5 years).
- Largely replaced in treatment of anxiety by alprazolam and
other, newer medications
- PO, IM, & IV
Diazepam Nursing Considerations Correct Answer Monitor
patients with respiratory disorders closely
Abrupt discontinuation should be avoided
Can cause birth defects and CNS depression in the neonate
Epilepsy Correct Answer a disruption of the activity of
clusters of neurons in the brain that is characterized by two or
more seizures.
