A person is prescribed lorazepam (Ativan) 2 mg po bid prn for anxiety. When the person takes this medication, which change in sleep is anticipated? The patient will:
a. have fewer dreams.
b. have less slow-wave sleep.
c. experience extended sleep latency.
d. enter sleep through rapid eye movement (REM) sleep.
ANS: B
Lorazepam is a benzodiazepine, which reduces slow-wave sleep. REM sleep would likely increase. Persons with narcolepsy often enter sleep through REM.
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The nurse is completing a patient's health history with regard to potential risk factors for lung disease. What interview question addresses the most significant risk factor for respiratory diseases?
A) "Have you ever been employed in a factory, smelter, or mill?" B) "Does anyone in your family have any form of lung disease?" C) "Do you currently smoke, or have you ever smoked?" D) "Have you ever lived in an area that has high levels of air pollution?"
The right leg of a client who was involved in a motor vehicle accident needs to be amputated due to complications. When would a permanent prosthetic limb be constructed for this client?
A) As soon as wound drainage ceases B) Four to 6 weeks after the leg has been amputated C) When the stump size stabilizes D) Ten to 12 months after the amputation of the leg
A woman is planning to drive about 500 miles from home to see her grandchildren and asks the nurse which drug would be most effective for treating motion sickness is. The nurse's best reply is:
a. "Meclizine HCl also called Antivert will help prevent/relieve your motion sickness." b. "Chlorpheniramine maleate also called Chlor-Trimeton is the best medication for you.". c. "You should take promethazine HCl but you'll need a prescription from your doctor." d. "The best drug for motion sickness cetirizine or Zyrtec.".
Which statement regarding the use of zolpidem (Ambien) for insomnia is accurate?
1. Patients using Ambien should avoid foods that contain tyramine. 2. Ambien will take longer to produce an effect when taken with food. 3. Ambien is contraindicated during pregnancy but can be taken by breastfeeding mothers. 4. Ambien is classified as a benzodiazepine.