A primary health care provider prescribes eszopiclone (Lunesta) for a patient. Which classification of drug will the nurse be administering to the patient?
a. Benzodiazepine
b. Melatonin agonist
c. L-tryptophan antagonist
d. Nonbenzodiazepine, benzodiazepine receptor agonist
D
The nonbenzodiazepine, benzodiazepine receptor agonists are newer medications that appear to have better safety profiles and fewer adverse effects than the benzodiazepines. They are also associated with a lower risk of abuse and dependence than the benzodiazepines, although abuse and dependence do occur. Examples of medications in this class include zolpidem (Ambien), zaleplon (Sonata), and eszopiclone (Lunesta). Benzodiazepines are a common classification of drug used to treat sleep problems when a change in sleep hygiene is not effective. Examples of benzodiazepines include temazepam (Restoril), flurazepam (Dalmane), estazolam (ProSom), and triazolam (Halcion). A new class of drugs called melatonin agonists promotes the onset of sleep by increasing levels of the natural hormone melatonin, which helps normalize circadian rhythm and sleep-wake cycles. Ramelteon (Rozerem) belongs to this drug class. There is no such classification as L-tryptophan antagonist. L-tryptophan is thought to promote sleep.
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The nurse admits a client in hypovolemic shock, and receives the following orders from the physician: ? Initiate two large-bore IV lines. ? Obtain STAT CBC with differential. ? Type and cross for two units of whole blood
? Insert an indwelling catheter to monitor output. What order would the nurse perform first? 1. Initiate IV lines. 2. Complete requisitions for CBC. 3. Complete requisitions for blood. 4. Insert the indwelling catheter.
The client is a 38-year-old female client who developed a pulmonary embolism and is currently in the Intensive Care Unit. The nurse in the Intensive Care Unit is interviewing the client and reviewing her history. Which of the following statements by the client or assessment findings are consistent with the client's increased risk for developing a pulmonary embolism? Standard Text: Select all that apply.
1. Client states, "I usually smoke two packs of cigarettes each day.". 2. Client states, "The nurse on the surgical unit really wanted me to sit on the side of the bed after surgery and to start walking with him later that evening, but I was so nauseated and in so much pain that I couldn't.". 3. Client states, "I had an open appendectomy 4 days ago.". 4 cm incision noted to RLQ, staples intact, edges well-approximated 4. Client states, "I have taken oral contraceptives for the last 7 years.". 5. Client states, "I had some muscle cramping and tenderness in my left leg before they moved me to Intensive Care.".
Prior to discharge from the hospital, the newborn most often will receive a screening blood test to rule out which of the following conditions?
a. Addison's disease and pituitary dysfunction b. Down syndrome and autism c. phenylketonuria and hypothyroidism d. Marfan's syndrome and cerebral palsy
Discharge differs from transfer in that it indicates
A) transition between any settings. B) movement within the same institution. C) movement out of the institution. D) readmission to a previous institution.