Last test
What class of drugs does the nurse anticipate may be prescribed for a patient who experiences anxiety when speaking before a group?
Beta blockers
Which side effects of drugs for insomnia will the nurse teach a patient to expect?
Dry mouth and drowsiness
When the nurse assesses a patient with a diagnosis of bipolar disorder, which findings are expected?
Cycling moods from severe highs to severe lows
For which unusual side effect should the nurse teach patients and families to monitor for when eszopiclone is prescribed for insomnia?
Somnambulism
Which safety precaution is most important for the nurse to teach an older adult who is prescribed chlorpromazine?
Change positions slowly when rising to stand
What is the most important assessment for the nurse to perform before giving the first dose of any drug to treat insomnia.
Level of consciousness
The patient describes experiencing extreme anxiety and worry on a daily basis for the past year. What does the nurse suspect is the most likely diagnosis for these symptoms?
Generalized anxiety disorder
On admission to the acute care unit a patient tells the nurse that she stopped taking her prescribed clonazepam 2 days ago. What is the nurse's best first action?
(two things)
Notify the prescriber and watch for seizures.
An older patient has been taking lithium carbonate for 2 months. Which symptom does the nurse report to the prescriber as a possible side effect that may require a change of drug or drug dosage?
Weight loss of 6 pounds in one week
What is the most important information for the nurse to include when teaching a patient who has been prescribed zaleplon about the action of this drug?
Go to bed immediately after taking a dose of this drug
Which side effect is most important for the nurse to teach a patient about the use of temazepam for insomnia?
Possible amnesia
A patient was prescribed paroxetine 2 weeks ago tells the nurse that it is not working and asks if she can have diazepam instead. What is the nurse's best response?
Paroxetine can take from 1 to 8 weeks for symptoms of depression to improve
Which action is most important for the nurse to instruct a patient to take immediately after taking a benzodiazepine receptor agonist?
Go to bed within t to 10 minutes after taking the drug
Which patient personal information is most important for the nurse to report to the prescriber for a patient who is prescribed olanzapine?
Smokes two packs of cigarettes daily
Which drug or substance will the nurse prepare to administer to a patient who is experiencing a benzodiazepine overdose?
Flumazenil
Which drug for insomnia is rarely used now because it is a a Schedule II drug with a high potential for abuse and dependence?
Pentobarbital
For which symptom does the nurse anticipate the patient with depression is likely to receive treatment at an inpatient facility rather than as an outpatient?
Suggesting a plan to hurt oneself
Which class of drugs used to treat insomnia has the lowest likelihood to be habit forming or addictive?
Benzodiazepine receptor agonists
Which precaution is most important for the nurse to teach a patient who is prescribed any antidepressant drug?
Avoid drinking alcoholic beverages while taking this drug
While assessing a j58 year old patient with insomnia who is prescribed flurazepam, the nurse finds that he has a history of heavy alcohol use for the past 28 years. What is the nurse's best first assessment or action?
Assessing the patient for skin yellowing, dark urine, and light colored stools
Why will the nurse teach a patient prescribed a CNS depressant for insomnia to avoid drinking alcohol?
Alcohol can potentiate the sedating effect of these drugs
A patient has been taking mirtazapine for the last 3 months. Which laboratory result from the patient will the nurse report to the prescriber?
White blood cell count of 2100
Why should women avoid using benzodiazepine receptor agonists during lactation?
The sedating effects also occur in the infant
The family of a patient who was prescribed chlorpromazine report that the patient continually rolls his tongue and smacks his lips. What is the nurse's best action?
Instruct the family to hold the next dose of the drug and have the patient seen by the prescriber as soon as possible
Which food or beverage does the nurse teach a patient who is prescribed quetiapine to avoid?
Grapefruit and grapefruit juice