It is available in both quick onset and continuous

discontinued. It is available in both quick-onset and continuous-
release oral forms, and common adverse effects of the drug are
headache, prolonged drowsiness, and dizziness.
 Question 20
1 out of 1 points
A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing
periods of anxiety. The nurse should be careful to assess for
Response
Feedback:
The patient who has history of alcohol or substance abuse may be a
poor candidate for lorazepam because the patient is more likely to
develop dependence on the drug. Alcohol will also have an additive
effect with lorazepam. A diet high in fat and carbohydrates or nicotine
use should not affect the use of lorazepam.
 Question 21
1 out of 1 points
A postsurgical patient has been provided with a morphine patient-controlled
analgesic (PCA) but has expressed her reluctance to use it for fear of becoming
addicted. How can the nurse best respond to this patient's concerns?
Response
Feedback:
Addiction to opioids is a rare occurrence among hospital patients who
do not have a history of drug abuse. It would be inappropriate to
downplay the patient's concerns, however. A more appropriate
response would be to explain the phenomenon of dependence and to
differentiate it from addiction.
 Question 22
1 out of 1 points
A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic
cancer pain. The patient asks the nurse how long it will take for her to experience
pain relief. The nurse will instruct the patient that she should feel pain relief in
approximately

Response
Feedback:
The nurse will instruct the patient that it will take approximately 24
hours for the full pain-relieving effect of a fentanyl transdermal patch
to occur.
 Question 23
1 out of 1 points
A nurse is caring for a patient who abuses marijuana. The treatment for marijuana
abuse consists mainly of
Response
Feedback:
Treatment for marijuana abuse consists mainly of nonpharmacologic
interventions combined with an exercise program to help deal with
withdrawal symptoms and cravings for the drug. Treatment of LSD and
PCP use is necessary only when the user experiences a “bad trip.”
Parlodel is given for cocaine addiction. Patients with acute inhalant
intoxication may need respirator assistance.
 Question 24
1 out of 1 points
A patient with mild low back pain has been advised to take acetaminophen. The
nurse will inform him that excessive intake of acetaminophen may result in
Response
Feedback:
A patient taking acetaminophen should be taught the common
adverse effects of the drug, which include rash, urticaria, and nausea.
Nausea, not gastrointestinal distress, is a common adverse effect of
acetaminophen. Flushing, dizziness, and feelings of tingling, heat, and
fatigue are the most common adverse effects of sumatriptan, not
acetaminophen.
 Question 25
1 out of 1 points
A 39-year-old patient who is having trouble sleeping is beginning drug treatment with
zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking
Response
Feedback:
The nurse will assess for cimetidine use. Cimetidine greatly increases
the level of circulating zaleplon and could cause toxic effects in the
patient. Secobarbital is a barbiturate, and oxycodone and meperidine