08 Oct A client is to start zolpidem. What non-pharmacologic interventions can help promote sleep and rest to help this medication be more effective?

A client is to start zolpidem. What non-pharmacologic interventions can help promote sleep and rest to help this medication be more effective? SELECT ALL THAT APPLY

 

  Listen to music

 

  Read a book

 

  Drink green tea before bed

 

  Avoid caffeine 6 hours before bedtime

 

  Start a routine, get up at the same time every day.

 

  Take a nap during the day if you feel it is needed.

 

Question 2 A client is to start taking valproic acid. What labs should be monitored periodically throughout therapy? SELECT ALL THAT APPLY

 

  AST

 

  ALT

 

  Valproic acid level

 

  CBC

 

  Sodium levels

 

Question 3What is the primary use for butobarbital?

 

  Short-term treatment of insomnia

 

  Used as anesthesia for surgery

 

  Prevents seizures with epilepsy

 

  Long-term treatment of anxiety

 

Question 4An adolescent is newly prescribed phenytoin. What  information should the nurse provide in the teaching plan to the client and the parents? SELECT ALL THAT APPLY

 

  Brush and floss your teeth at least twice very day.

 

  Have dental exams done twice per year.

 

  Take the drug as close to the same time every day, if possible.

 

  Drug levels will be monitored periodically throughout therapy.

 

  Pad the corners of tables and try to clear any clutter that can cause harm if patient were to fall and have seizure

 

  This drug will make you more alert and awake and it will help increase your focus in school

 

Question 5A child is diagnosed with ADHD and is to start taking methylphenidate by mouth. What education should the nurse provide to the parents and child about this medication? SELECT ALL THAT APPLY

 

  Weigh the child 2 times per week to monitor for weight loss associated with methylphenidate

 

  Report fast heart rate to health care provider as this can be a serious adverse effect

 

  Take before breakfast and lunch

 

  Increase intake of caffeine to decrease need of methylphenidate

 

  Provide child with a nutritious breakfast as they may have decreased appetite for the rest of the day

 

  Take the last dose 2 hours before bedtime to help increase sleep at night.

 

Question 6Match each epileptic drug with it’s the desired therapeutic range.

 

phenytoin

 

carbamazepine

 

phenobarbital

 

Valproic acid

 

Question 7A client is experiencing status epilepticus and is in the emergency department. What is the correct order for administration of the prescribed medications?

 

Step 1

 

Step 2

 

Step 3

 

Step 4

 

Question 8A client asks the nurse “How does the sumatriptan work to stop my migraine?” What is the best response by the nurse?

 

  “It causes vasoconstriction of your cranial arteries.”

 

  “It causes central nervous system depression, making you relax.”

 

  “It lowers your blood pressure which decreases the throbbing pain.”

 

  “It is thought to stimulate your GABA receptors in your brain.”

 

Question 9 A client is beginning to take cyclobenzaprine for treatment of acute back spasms. Which statement indicates to the nurse that the client needs additional instructions?

 

  “I will take this drug in the evening with a glass of wine.”

 

  “I can take this medication with food if needed.”

 

  ” I should not drive after taking a dose of cyclobenzaprine.”

 

  “I will take this medication exactly as prescribed.”

 

Question 10A client has been prescribed topiramate. What education should the nurse provide?

 

  Avoid alcohol intake within 6 hours of scheduled dose

 

  Therapeutic range is 4-12 mcg/mL

 

  This drug increases mental focus and alertness

 

  Grapefruit juice will cause toxicity

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