Author Question: A patient who has been taking butabarbital (Butisol) for several weeks reports being drowsy and ... (Read 46 times)

codyclark · **on:** Jul 23, 2018

A patient who has been taking butabarbital (Butisol) for several weeks reports being drowsy and having difficulty performing tasks at work most mornings. The nurse suspects that which drug effects have occurred?

a. Dependence
b. Hangover
c. Tolerance
d. Withdrawal

Question 2

An older adult has difficulty falling asleep. The nurse understands that which sedative hypnotic is appropriate for this patient?

a. Butabarbital (Butisol)
b. Flurazepam (Dalmane)
c. Secobarbital (Seconal)
d. Temazepam (Restoril)

duy1981999 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Intermediate-acting hypnotics, such as butabarbital, are useful for sustaining sleep, but patients often experience residual drowsiness in the morning, or hangover. Drug dependence occurs when patients develop a need for the drug. Tolerance refers to a reduced drug effect requiring larger amounts of drug to get the desired effect. Withdrawal occurs when stopping the drug causes symptoms that can only be alleviated by taking the drug.

Answer to Question 2

ANS: D
Short- to intermediate-acting benzodiazepines such as temazepam are recommended for older adults and are considered safer than barbiturates.