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A sedative hypnotic has been prescribed to help a

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23.A sedative-hypnotic has been prescribed to help a client sleep. What should the nurse teach the client about thismedication?A)It should be taken every night for several monthsB)It is useful for sleep but is better taken with alcoholC)It loses its effectiveness after one or two weeksD)It should be taken in the morning for long-term effectsAns: CFeedback:Although most sedative-hypnotics provide several nights of excellent sleep, the medication often loses its effect afterone or two weeks. Caution the client not to increase the dose or take the drug with alcohol to try to increase effect.24.What is the most common method for ordering sleep medications?A)StatB)p.r.nC)Single orderD)Daily doseAns: BFeedback:
Sleep medications are often ordered on a p.r.n. (as needed) basis. These medications should be administered only whenindicated, and always with the full knowledge of their limitations.25.What condition have studies confirmed occurs when adults and children do not get recommended hours of sleep atnight?A)ObesityB)AnxietyC)DiabetesD)HypertensionAns:AFeedback:The fact that children and adults are getting less sleep has been implicated as a contributing factor to the obesityepidemic in the United States (CDC, 2008, Goldsmith, 2007). Various studies confirm that adults and children who sleptless than their recommended hours per night were more likely to be overweight. This sleep-weight link is possiblyrelated to two hormones: leptin and ghrelin. Leptin signals the brain to stop eating, whereas ghrelin promotes continuedeating. Research suggests that sleep deprivation lowers leptin levels and elevates ghrelin levels, thus increasing one’sappetite.26.Which drug normalizes sleep cycles by enabling the body’s supply of melatonin to naturally promote sleep?A)Flurazepam (Dalmane)B)Temazepam (Restoril)C)Eszopiclone (Lunesta)D)Ramelteon (Rozerem)Ans:DFeedback:The most recently approved sleep medication is Ramelteon (Rozerem). This drug is classified as a melatonin receptoragonist and it normalizes sleep cycles by enabling the body’s supply of melatonin to naturally promote sleep(Goldsmith, 2007).27.Which expected outcome demonstrates the effectiveness of a plan of care to promote rest and sleep?A)Verbalizes inability to sleep without medicationsB)Continues to read in bed for hours each nightC)Identifies factors that interfere with normal sleep patternD)Reports minimal improvement in quality of rest and sleepAns: CFeedback:The nurse evaluates the effectiveness of the plan of care to promote rest and sleep by evaluating if the client has met theexpected outcomes of the plan. If the client is able to identify factors that interfere with normal sleep patterns, thisillustrates achievement of one expected outcome.

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Term
Fall
Professor
N/A
Tags
Nursing, researcher, ONCOLOGY NURSE

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