A hospitalized patient who is given one dose of flurazepam continues to show drowsiness the next day. A nursing student asks the nurse the reason for this, because the drug's half-life is only 2 to 3 hours. Which response by the nurse is correct?
a. "Benzodiazepines commonly cause resi-dual effects lasting into the day after the dose is given."
b. "The patient is having a paradoxical reac-tion to this medication."
c. "This patient must have developed a pre-vious tolerance to benzodiazepines."
d. "When this drug is metabolized, the re-sulting compound has longer-lasting ef-fects."
D
Flurazepam has a half-life of 2 to 3 hours; however, its metabolite has a long half-life, so giving the drug results in long-lasting effects. Barbiturates, not benzodiazepines, are commonly asso-ciated with residual, or hangover, effects. A paradoxical reaction to a sedative would manifest as insomnia, euphoria, and excitation, not drowsiness. Tolerance means that the patient would need increased amounts of a drug to get the desired effects and would not have prolonged effects of the medication.
You might also like to view...
The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). The nurse should question which of the following physician's orders?
1. Stat serum electrolytes 2. Neurological checks hourly 3. NPH insulin IV at 0.1 units/kg per hour. 4. Insert urinary catheter and measure output hourly.
The nurse administers an antitussive/expectorant cough preparation to a patient with bronchitis. Which of the following responses indicates to the nurse that the medication is effective?
1) The amount of sputum the patient expectorates decreases with each dose administered. 2) Cough is completely suppressed, and she is able to sleep through the night. 3) Dry, unproductive cough is reduced, but her voluntary coughing is more productive. 4) Involuntary coughing produces large amounts of thick yellow sputum.
A multisystem healthcare organization has many types of big data; however, it has been limited in its ability to use the information to improve patient outcomes. What should be done with the data to improve its use?
A) Supply metadata B) Implement discovery informatics C) Hire a business intelligence practitioner D) Apply a knowledge management system
A hiring manager is hiring a certified gerontological nurse. Which candidate would be qualified for this position?
1. The nurse has a master's degree in nursing and has worked in a nursing home for 10 years. 2. The nurse has worked in administration at a geriatric psychiatric facility for 5 years. 3. The nurse has worked full time at least 2 years in gerontological nursing and is in a PhD program. 4. The nurse's clinical competence in gerontological nursing has been validated via testing.