A patient states that many of his friends told him to ask for Valium or Ativan to help him sleep while hospitalized. The nurse knows that nonbenzodiazepines (such as Ambien) are often preferred over benzodiazepines (Ativan or Valium). Why is this?
1) Benzodiazepines are eliminated from the body faster than are nonbenzodiazepines, so they do not provide a full night of sleep.
2) Nonbenzodiazepines cause daytime sleepiness, allowing people to rest throughout the day.
3) Benzodiazepines produce daytime sleepiness and alter the sleep cycle.
4) Nonbenzodiazepines linger in the body longer than do benzodiazepines.
ANS: 3
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The nurse should advise a mother seeking information about vitamin supplementation that:
a. it is unwise to exceed the recommended daily allowance of some vitamins. b. vitamins derived from natural sources are not as good as those derived synthetically. c. megavitamin doses are likely to be more effective than recommended daily allowances. d. fat-soluble vitamins are safer than water-soluble vitamins to supplement.
A male patient has been taking venlafaxine (Effexor) 37.5 mg daily for 2 weeks and reports ejaculation dysfunction and urinary retention. What action will the nurse take?
a. Contact the provider to discuss decreasing the dose. b. Reassure the patient that these are common side effects. c. Report potential serious adverse effects to the provider. d. Withhold the dose until the provider is notified.
Which of the following may cause constipation?
A. Inactivity B. Medications C. Inadequate diet and fluids D. All of these
Which cardiovascular manifestations should the nurse anticipate for a pediatric client diagnosed with moderate uncompensated hypovolemic shock? Select all that apply
1. Tachycardia 2. Weak distal pulses 3. Thready distal pulses 4. Normal blood pressure 5. Decrease in systolic blood pressure