Barbituates and Benzos
What is the physiological effect of sympathetic nervous system stimulation to the blood vessel?
-Tachycardia
-tachypnea
-vasoconstriction
-mydriasis
Vasoconstriction
A nurse received an order to administer a barbiturate drug to a client with sleep disorder. Which of the
following drug should the nurse prepare that demonstrates understanding of the drug?
a. Lorazepam
b. Phenytoin
c. Levodopa
d. Phenobarbital
Phenobarbital
A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?
a. Diazepam can cause drowsiness.
b. This medication must be swallowed whole.
c. It is important to avoid foods that contain tyramine.
d. Grapefruit juice inactivates this medication.
A client was started on Phenytoin as anticonvulsant. What is the therapeutic range for Phenytoin?
a. 10-20 mg/L
b. 3-14 mg/L
c. 12-20 mg/L
d. 4-12 mg/L
10-20 mg/L
A nurse is providing teaching to a client who has a new diagnosis of Parkinson’s disease. On which of the following medications should the nurse prepare to instruct the client?
a. Piperacillin/tazobactam
b. Levothyroxine
c. Levodopa/carbidopa
D.carbamazepine
levodopa/carbidopa
What is the physiologic effect of parasympathetic stimulation to the eyes?
-Mydriasis
-meiosis
-focus vision
-lacrimation
focus vision
student nurse is providing education regarding Barbiturates. Which of the following is true of
Phenobarbital? Select all that apply.
a. Intermediate acting
b. Anticonvulsant
c. Anxiolytic
d. Available in injections
-anticonvulsant
-anxiolytic
-available in injections
A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?
a. "Take this medication every night before sleep."
b. "Take this mediation with a high-fat meal."
c. "Avoid activities that require alertness, such as driving."
d. "Monitor for peripheral edema."
A client was found to be in active seizure by the nurse. Which of the following anticonvulsants is
appropriate medication for the client?
a. Phenobarbital intravenously
b. Lorazepam per orem
c. Diazepam intravenously
d. Phenytoin intravenously
Diazepam intravenously
Which medication combination is often considered the drug of choice for treating Parkinson's Disease due to its ability to effectively increase dopamine levels in the brain?
a. Carbidopa alone
b. Levodopa alone
c. Dopamine Agonists
d. Carbidopa-Levodopa
d. Carbidopa-Levodopa
Which of the following best describes Atropine?
-mimics cholinergic drugs
-Mimics parasympathetic drugs
-mimics adrenergic antagonist drugs
-mimics adrenergic agonist drugs
mimics adrenergic agonist drugs
A student nurse is providing education regarding Barbiturates. Which of the barbiturates are
considered short acting sedatives? Select all that apply
a. Phenobarbital
b. Secobarbital
c. Amobarbital
d. Butabarbital
e. Pentobarbital
-secobarbital
-pentobarbital
A client received Lorazepam 10 mg after an episode of seizure. Client now is observed to be bradypneic at 7 respirations per minute. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines?
a. Flumazenil
b. Diphenhydramine
c. Protamine
d. Naloxone
Flumazenil
A client was recently diagnosed with seizure disorder. Which of the following is true of Fosphenytoin?
a. Fosphenytoin is the prototype anticonvulsant in the hydantoin class.
b. Fosphenytoin is a direct-acting antiepileptic drug with no need for conversion in the body.
c. Fosphenytoin is a prodrug commonly used when a loading dose of Phenytoin is required.
d. Fosphenytoin is primarily indicated for absence seizures.
c. Fosphenytoin is a prodrug commonly used when a loading dose of Phenytoin is required.
Which set of side effects is commonly associated with the use of Dopamine Agonists in the treatment of Parkinson’s Disease?
a. Orthostatic hypotension, tachycardia, palpitations
b. Chewing motions, bobbing, facial grimacing, rocking movements
c. Nightmares, depression, confusion, hallucinations
d. All of the above
All of the above
Which of the following is true of pilocarpine?
-sympatholytic drug
-used for glaucoma
-reversal agent against insecticide poisoning
-stimulates adrenergic receptors
used for glaucoma
An elderly client received an intravenous phenobarbital few minutes ago. The client was noted to be
confused and agitated. Which of the following statements indicates understanding of the drug adverse
reaction?
a. Blood dyscrasia
b. Extrapyramidal symptoms
c. Paradoxical effect
d. Hangover sedation
Extrapyramidal symptoms
A nurse is administering a dose of diazepam to a client with agitation and aggression. Which drug
class does diazepam belong to?
a. Phenobarbital
b. Benzodiazepines
c. Antidepressants
d. Antipsychotic
Benzodiazepines
A client was started on Carbamazepine as anticonvulsant. What is the therapeutic range for Carbamazepine?
a. 10-20 mg/L
b. 3-14 mg/L
c. 12-20 mg/L
d. 4-12 mg/L
12-20 mg/L
A client is to receive an anticholinergic due to Parkinson’s disease. Which of the following are considered anticholinergics? Select all that apply.
a. Trihexyphenidyl
b. Orphenadrine
c. Carbidopa-Levodopa
d. Benztropine
-Trihexyphenidyl
-orphenadrine
-benztropine
Which of the following medications is used to treatment of Myasthenia Gravis?
Pyridostigmine
Edrophonium
Neostigmine
Guanidine
-Pyridostigmine
-neostigmine
-guanidine
is the therapeutic range for Phenobarbital when used as an anticonvulsant?
a. 5-15 mg/L
b. 15-45 mg/L
c. 25-50 mg/L
d. 10-30 mg/L
15-45 mg/L
A client was found lethargic by the nurse during morning rounds. Which of the following drugs should the nurse suspect as potential cause? Select all that apply.
a. Carbidopa-levodopa
b. Phenobarbital
c. Phenytoin
d. Lorazepam
-Phenobarbital
-phenytoin
-lorazepam
Which of the following produces anticonvulsant effect by stimulation of gamma aminobutyric acid? Select all that apply.
a. Barbiturates
b. Hydantoins
c. Benzodiazepine
d. Gabapentin
-barbiturates
-benzodiazepine
-gabapentin
Which drug is not under the barbiturate family?
a. Amobarbital
b. Phenobarbital
c. Secobarbital
d. Diazepam
Diazepam