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Question 210 out of 1 pointsA male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure toSelected Answer:Correct Answer:A.avoid the small veins in the dorsum of the hand or the wrist.Response Feedback:When diazepam is administered intravenously during status epilepticus, the smallveins in the dorsum of the hand or the wrist should be avoided. It should be injected slowly, no faster than 5 mg in 1 minute. Diazepam should not be mixed or diluted with other solutions or drugs, either in the syringe or in intravenous solutions.Question 221 out of 1 pointsA nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?Selected Answer:Correct Answer:A.A 35yearold man who is having difficulty falling asleep, but once asleep canstay asleepResponse Feedback:The nurse will most likely administer the zaleplon to the 35yearold man who is having difficulty falling asleep, but once asleep can stay asleep. Zolpidem would most likely be administered to the 20yearold who will take a sleep aid only once a week. Eszopiclone (Lunesta) will be given to the 52yearold woman who needs to fall asleep quickly and has trouble staying asleep. The 46yearold man will likely receive trazodone (Desyrel). This drug is given as a sleep aid for a patient who is taking an antidepressant.Question 231 out of 1 pointsA nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine?Selected Answer:Correct Answer:D.A client who has type 1 diabetes and who practices poor glycemic controlResponse
Feedback:The use of olanzapine creates a significant risk of hyperglycemia. This is of particular concern in patients and clients who have diabetes mellitus. Smoking affects the pharmacodynamics of olanzapine, but this is less likely to result in serious adverse effects. Obesity, low BMI, and recent antibiotic use are not associated with a significantly increased risk of adverse effects.Question 241 out of 1 pointsWhich of the following would be an expected outcome in a patient who has been given atropine during a medical emergency?Selected Answer:Correct Answer:D.Restoration of normal sinus rhythmResponse Feedback:Atropine is used to help restore normal sinus rhythm in emergency situations, such as symptomatic bradycardia, pulseless electrical activity, ventricular asystole, or cardiopulmonary resuscitation. It does not resolve acidbased imbalances or decreased level of consciousness and atropine increases, rather than decreases, blood pressure.