Pharmacology and the Nursing Process Tenth Edition Likely Rainforth Collin's Snyder Chapter 16,17,20, 51,,52,31

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Sample questions from Pharmacology and the Nursing Process Tenth Edition Likely Rainforth Collin's Snyder Chapter 16,17,20, 51,,52,31

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit, a client asks why the prescribed medication is called a sedative-hypnotic. Which explanation is accurate?

   • A.It reverses opioid effects at a lower dose and induces sleep at a higher dose.
   • B.It relieves pain at a lower dose and causes sleep at a higher dose.
   • C.It can reduce anxiety at a lower dose and induce sleep at a higher dose.
   • D.It prevents seizures at a lower dose and treats depression at a higher dose.

   Rationale: Sedative effects reduce anxiety and excitement, while hypnotic effects promote sleep; the same medication may produce either effect depending on dose. Pain relief is the defining action of analgesics, and opioid reversal is the action of opioid antagonists. The exam takeaway is to distinguish the intended CNS effect from analgesia or reversal.

2. 2.A client states, "I took my prescribed sleep medication with a glass of wine, and now I can barely stay awake." Which assessment is the priority?

   • A.Last bowel movement
   • B.Respiratory rate and depth
   • C.Urine output
   • D.Visual acuity

   Rationale: Alcohol can intensify the CNS-depressant effects of sedative-hypnotics, so excessive sedation and respiratory depression are immediate concerns. Constipation and urinary changes are not the most urgent consequences of this combination. Assess breathing and level of consciousness, and do not assume that sleepiness is harmless.

3. 3.An older adult is starting a sedative-hypnotic for short-term insomnia. Which instructions support safe use? Select all that apply.

   • A.Rise slowly and use assistance if unsteady.
   • B.Take an extra dose if sleep does not occur within 30 minutes.
   • C.Avoid alcohol while taking the medication.
   • D.Avoid driving until the effects are known.
   • E.Take the medication only as prescribed.

   Rationale: Taking only the prescribed dose and avoiding alcohol reduce excessive CNS depression. Slow position changes and assistance address impaired coordination and fall risk, and avoiding driving protects the client and others until the response is known. Taking an extra dose can cause dangerous oversedation and is not an appropriate response to delayed sleep.

4. 4.Which client statement about long-term benzodiazepine use indicates a need for further teaching?

   • A."If I become used to the effect, I can double the dose on my own."
   • B."I will report unusual confusion or excessive sleepiness."
   • C."I should not stop this medication suddenly after taking it regularly."
   • D."I will ask my prescriber before changing my dose."

   Answer and rationale are in the full material.

5. 5.In a long-term-care setting, a resident who received a sedative-hypnotic is newly difficult to arouse. Which finding requires the most immediate action?

   • A.Difficulty initiating sleep the previous night
   • B.Mild unsteadiness when standing
   • C.Dry mouth
   • D.Respirations of 8/min and shallow

   Answer and rationale are in the full material.