NUR 2092 Pharm Ch 20
- A 75-year-old client is brought to the emergency department by the fam- ily.The family
relates that the client has confusion, seizures, and abnormal perception of movement. When the nurse looks at the medication that the family has brought to the ED, the nurse discovers that twice the number of tablets are missing from the vial as there should be if the prescription
orders were being followed.What should the nurse suspect is wrong with this client?
Answer Benzodiazepine toxicity
- Clients taking benzodiazepines, especially older adult clients, are at high risk for which
effect?
Answer Falls
- A client informs the nurse that he plans on discontinuing the prescribed lorazepam (Ativan)
he has been taking for the past four months. What is the nurse's best action in response to this client's statement?
Answer Advise the client to contact his healthcare provider about tapering off the medication.
- The client suffers from GERD and diverticulosis and has been admitted to a medical floor.
The admitting physician orders cimetidine and a sedative to calm the client. What should the nurse be concerned about?
Answer Increased sedative effect
- A 70-year-old patient has just started taking lorazepam 10 days ago for anxiety issues
related the death of her husband. She is staying with her daughter for a couple of weeks. The patient's daughter has noticed that her mother is having difficulty walking and seems to be confused at times and calls the clinic to report this to the nurse. The nurse will inform the daughter that
Answer a dose adjustment should be made if these symptoms persist. 1 / 2
- A male patient is being discharged home from the hospital after having pneumonia. At
home, the patient will be taking the same drugs he was taking before he was hospitalized. These drugs include an anti-anxiety medication and a medication for insomnia. During the home care nurse's initial visit, what should the nurse review with the patient?
Answer The risks of injuries if mental and physical responses are slowed by drugs
- The nurse is caring for a client who has been prescribed oxazepam. What statement by the
client would suggest an increased risk of CNS depression to the nurse?
Answer "I take an over-the-counter antihistamine each day for my allergies."
- A nurse is caring for a patient who has just been transported to the op- erating room. Twenty
minutes prior to leaving for the operating room, this patient was medicated with topical promethazine. What is the rationale for giving promethazine prior to surgery?
Answer Anxiety, nausea, and vomiting
- What assessment question would be most appropriate when providing care for a client newly
prescribed chlordiazepoxide?
Answer "What is motivating you to stop drinking alcohol?"
Correct response
"When did you have your last drink of alcohol?"
- Long-term use of which anxiolytics can result in physical or psychological dependence?
(Select all that apply.)
Answer Long-term use of which anxiolytics can result in physical or psychological dependence?
- / 2