The nurse should withhold the hypnotic drug if assessment reveals which of the following? Select all that apply
A) Respiratory rate is below 10 breaths/min.
B) Blood glucose is above 200 mg/dL.
C) The client appears lethargic.
D) Blood pressure drops significantly.
E) The client is having trouble sleeping.
Ans: A, C, D
Feedback:
The nurse should hold the hypnotic drug if the respiratory rate is below 10 breaths/min, the client appears lethargic, or the blood pressure drops significantly. Difficulty sleeping is the indication for administering the drug. Blood glucose is unrelated to the use of hypnotics.
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