Question

The nurse is reviewing a client's current drug regimen and notes that the client takes 30 mg flurazepam daily. The nurse should suspect what health problem?

Answer 1

Correct Answers:

Insomnia

Rationale :

🌙Flurazepam is a benzodiazepine hypnotic that is primarily prescribed for short-term management of insomnia.

💊It works by enhancing the effects of GABA, a neurotransmitter that induces sedation and promotes sleep.

🛌This medication is not typically indicated for anxiety, psychosis, or bipolar disorder because its primary therapeutic effect is sleep induction.

⚠️Using flurazepam daily for extended periods can lead to tolerance, dependence, and daytime drowsiness, reinforcing its role as a short-term treatment for insomnia only.

📌Core Message

Flurazepam is a benzodiazepine hypnotic used for short-term treatment of insomnia.

Answer 2

Correct Answers:

try to identify and avoid factors that cause nervousness or insomnia.

Rationale :

🧠Teaching clients with anxiety disorders should include non-pharmacologic strategies such as avoiding triggers that worsen anxiety or interfere with sleep.

💡Medications should be paired with lifestyle adjustments for optimal outcomes.

📉By identifying and minimizing these factors, clients may require lower doses of medication and reduce side effects.

⚠️Focusing only on drug timing without addressing underlying triggers is incomplete and may lead to symptom recurrence.

📌Core Message

Anxiety medication teaching should include avoiding anxiety and insomnia triggers.

Answer 3

Correct Answers:

Question the provider about the order.

Rationale :

⚠️Phenobarbital 6 mg IV is far below the usual therapeutic IV dose for seizure control in adults (which is typically hundreds of milligrams).

🧠Such a low dose would be ineffective for managing active seizure activity and suggests a possible prescription error.

💊The nurse’s priority is client safety, which includes clarifying questionable orders before administration.

📋Following the “right dose” principle in medication administration prevents ineffective treatment and potential harm.

📌Core Message

Always verify questionable medication doses to ensure safe and effective seizure management.

Answer 4

Correct Answers:

no risk of psychological dependence

Rationale :

💊Buspirone is unique among antianxiety drugs because it does not cause dependence or withdrawal symptoms.

🧠It works through serotonin and dopamine modulation, unlike benzodiazepines that act directly on GABA receptors and can cause dependence.

💁‍♂️This makes buspirone a safer long-term option for chronic anxiety treatment.

⚠️However, buspirone does not provide immediate relief and is not suitable for acute anxiety episodes.

📌Core Message

Buspirone is an anti-anxiety drug with no risk of dependence.

Answer 5

Correct Answers:

Help the client out of bed to the bathroom and encourage the client to void.

Rationale :

🚑Benzodiazepines can cause sedation and decreased coordination, increasing fall risk after administration.

🚽Having the client void before receiving the drug prevents the need to ambulate while sedated, enhancing safety.

💁‍♂️This is especially important before procedural sedation, when the drug’s effects begin quickly.

📋It also minimizes interruptions during the procedure for toileting needs.

📌Core Message

Ensure client safety and comfort by having them void before sedation.

Answer 6

Correct Answers:

"This drug will calm me down at around half an hour after I take it."

Rationale :

💊Alprazolam, a short-acting benzodiazepine, has an onset of action of about 30 minutes.

⏳Educating clients about onset helps in anticipating symptom relief and proper planning of activities.

⚠️Stopping the drug abruptly after panic symptoms improve can lead to withdrawal and recurrence of anxiety.

📋Older adults require lower doses, not higher, due to increased sensitivity and altered drug metabolism.

📌Core Message

Alprazolam begins calming effects in about 30 minutes.

Answer 7

Correct Answers:

monitoring for agitation or restlessness

Rationale :

🧠Barbiturates can cause paradoxical excitation in children, presenting as agitation or hyperactivity instead of sedation.

⚠️This reaction is more common in pediatric clients than adults.

📋Monitoring for these signs ensures timely intervention to prevent harm.

💡Cardiac monitoring or reflex checks are not typically the primary focus unless other risk factors exist.

📌Core Message

In children, barbiturates may cause paradoxical restlessness instead of sedation.

Answer 8

Correct Answers:

"We should see results in about 10 to 30 minutes."

Rationale :

💊Phenobarbital given IV for status epilepticus typically begins to control seizures within 10–30 minutes.

⏳This time frame is important to set realistic expectations for family members.

📋Immediate seizure cessation is rare, but a timely response indicates effective drug action.

⚠️If seizures persist beyond this period, additional interventions may be required.

📌Core Message

IV phenobarbital controls seizures within 10–30 minutes.

Answer 9

Correct Answers:

Document the fact that the client's phenytoin level is therapeutic.

Rationale :

📊The therapeutic serum level for phenytoin is 10–20 mcg/mL, and 16 mcg/mL falls within this range.

🧠Maintaining levels in the therapeutic window ensures effective seizure prevention without toxicity.

📋No dosage changes or precautions are needed if the client is stable.

⚠️Levels above 20 mcg/mL risk toxicity; below 10 mcg/mL may be subtherapeutic.

📌Core Message

A phenytoin level of 16 mcg/mL is therapeutic and requires no changes.

Answer 10

Correct Answers:

diazepam

Rationale :

🚑Diazepam is a benzodiazepine that effectively treats both alcohol withdrawal symptoms and associated seizures.

💊It provides rapid CNS depressant effects, preventing further withdrawal complications.

💁‍♂️Phenytoin is not effective for alcohol withdrawal seizures because the mechanism is different from epilepsy.

📋Other listed drugs like ethosuximide and gabapentin are not first-line agents for this condition.

📌Core Message

Diazepam is first-line for alcohol withdrawal seizures.

RN NUR Pharm Exam-2 fall

No.

1 :
The nurse is reviewing a client's current drug regimen and notes that the client takes 30 mg flurazepam daily. The nurse should suspect what health problem?

2 :
A nurse is planning teaching with a client who has had an anti-anxiety medication prescribed. A priority action for would be to:

3 :
A client is experiencing a seizure and the provider prescribes phenobarbital 6 mg IV STAT. What is the nurse's best action?

4 :
When compared with benzodiazepines, buspirone stands out as unique among antianxiety drugs because of what therapeutic advantage?

5 :
A nurse is about to administer a parenteral benzodiazepine to a client in the hospital before the performance of an invasive diagnostic procedure. What action should the nurse prioritize before administration of the drug?

6 :
The nurse has provided health education related to the use of alprazolam with a 78-year-old client. What statement best suggests that the client has an accurate understanding of the drug?

7 :
A nurse is caring for a 4-year-old who is receiving a barbiturate. What assessment should the nurse prioritize?

8 :
A client is brought into the emergency department in status epilepticus and the nurse is administering phenobarbital 300 mg IV as prescribed. Family members ask the nurse how long it will take to stop the seizures. What is the nurse's best response?

9 :
The nurse evaluates the client's latest serum phenytoin level which is revealed to be 16 mcg/mL. What is the nurse's best action?

10 :
A client is brought to the emergency department in the midst of acute alcohol withdrawal accompanied by seizure activity. What drug is most likely to meet this client's needs?

RN NUR Pharm Exam-2 fall

No.

1 : The nurse is reviewing a client's current drug regimen and notes that the client takes 30 mg flurazepam daily. The nurse should suspect what health problem?

2 : A nurse is planning teaching with a client who has had an anti-anxiety medication prescribed. A priority action for would be to:

3 : A client is experiencing a seizure and the provider prescribes phenobarbital 6 mg IV STAT. What is the nurse's best action?

4 : When compared with benzodiazepines, buspirone stands out as unique among antianxiety drugs because of what therapeutic advantage?

5 : A nurse is about to administer a parenteral benzodiazepine to a client in the hospital before the performance of an invasive diagnostic procedure. What action should the nurse prioritize before administration of the drug?

6 : The nurse has provided health education related to the use of alprazolam with a 78-year-old client. What statement best suggests that the client has an accurate understanding of the drug?

7 : A nurse is caring for a 4-year-old who is receiving a barbiturate. What assessment should the nurse prioritize?

8 : A client is brought into the emergency department in status epilepticus and the nurse is administering phenobarbital 300 mg IV as prescribed. Family members ask the nurse how long it will take to stop the seizures. What is the nurse's best response?

9 : The nurse evaluates the client's latest serum phenytoin level which is revealed to be 16 mcg/mL. What is the nurse's best action?

10 : A client is brought to the emergency department in the midst of acute alcohol withdrawal accompanied by seizure activity. What drug is most likely to meet this client's needs?

1 :
The nurse is reviewing a client's current drug regimen and notes that the client takes 30 mg flurazepam daily. The nurse should suspect what health problem?

2 :
A nurse is planning teaching with a client who has had an anti-anxiety medication prescribed. A priority action for would be to:

3 :
A client is experiencing a seizure and the provider prescribes phenobarbital 6 mg IV STAT. What is the nurse's best action?

4 :
When compared with benzodiazepines, buspirone stands out as unique among antianxiety drugs because of what therapeutic advantage?

5 :
A nurse is about to administer a parenteral benzodiazepine to a client in the hospital before the performance of an invasive diagnostic procedure. What action should the nurse prioritize before administration of the drug?

6 :
The nurse has provided health education related to the use of alprazolam with a 78-year-old client. What statement best suggests that the client has an accurate understanding of the drug?

7 :
A nurse is caring for a 4-year-old who is receiving a barbiturate. What assessment should the nurse prioritize?

8 :
A client is brought into the emergency department in status epilepticus and the nurse is administering phenobarbital 300 mg IV as prescribed. Family members ask the nurse how long it will take to stop the seizures. What is the nurse's best response?

9 :
The nurse evaluates the client's latest serum phenytoin level which is revealed to be 16 mcg/mL. What is the nurse's best action?

10 :
A client is brought to the emergency department in the midst of acute alcohol withdrawal accompanied by seizure activity. What drug is most likely to meet this client's needs?