A client previously treated for insomnia with flurazepam (Dalmane) is being switched to eszopiclone (Lunesta)
How would the nurse explain the benefits of the newer nonbenzodiazepines as compared to the benzodiazepines for the treatment of insomnia? 1. Benzodiazepines do not induce sleep.
2. Nonbenzodiazepines lead to more withdrawal.
3. Nonbenzodiazepines trigger a rebound effect.
4. Nonbenzodiazepines do not produce as much hangover effect.
4
Rationale: Nonbenzodiazepines are more rapidly eliminated and thus, produce minimal hangover effect. Benzodiazepines do induce sleep and can lead to tolerance and withdrawal symptoms. Rebound effect is more likely with the benzodiazepines than with the nonbenzodiazepines.
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A 48-year-old male patient with no known history of cardiovascular disease has presented to the emergency department in atrial flutter. The on-call cardiologist has ordered propafenone PO 150 mg every 8 hours for 24 hours
What is the cardiac care nurse's priority assessment during this period? A) Every 1 hour monitoring of potassium levels B) Blood pressure monitoring every 10 minutes C) Echocardiography D) Continuous ECG monitoring
Which clinical finding by the nurse is considered normal in the older adult client?
1. A hemoglobin of 10 g/dL two days post-joint replacement 2. Reports of the hands and feet feeling extremely warm 3. Skin tear with bruising, re-bleeding, and prolonged healing time 4. Poor or weak pulse amplitude in bilateral lower extremities
A new graduate questions a colleague about organizations that have collective bargaining agents that work for nurses. Which organization would not be included on the colleagues list?
a. National Nurses United c. Unites States Nurses b. Service Employees International Union d. Service Employees International Union
Which of the following client evaluations is most reflective of compliance for a preoperative cli-ent with a nursing diagnosis of deficient knowledge regarding preoperative requirements related to lack of exposure to information?
1. Client will present for scheduled blood laboratory work 48 hours before surgery. 2. Client's preoperative blood laboratory work results are present on preoperative chart. 3. Client will share the preoperative routines of surgical care with family to facilitate compliance. 4. Client will understand the preoperative routines of surgical care before leaving provider's office.