The nurse is caring for a young adult patient who is receiving a ...

[serike]

The nurse is caring for a young adult patient who is receiving a first dose of flurazepam (Dalmane) as a sedative-hypnotic medication. What intervention will be included in the nurse's plan of care for this patient?
 
  a. Instituting a bed alarm system to prevent falls
  b. Reassuring the patient that nightmares are not a usual effect
  c. Reporting a urine output greater than 1500 mL/day
  d. Teaching the patient that this drug may be used for 6 to 8 weeks

Question 2

The nurse is teaching a patient who will begin taking butabarbital (Butisol). What information will the nurse include when teaching this patient?
 
  a. Avoid alcohol while taking this drug.
  b. This drug may be used long-term.
  c. This medication will take effect immediately.
  d. You will not experience a hangover effect.

[SAUXC]

Answer to Question 1

ANS: A
The nurse should use a bed alarm for older patients and younger patients receiving a hypnotic for the first time. Patients may experience vivid dreams and nightmares. Urine output should be greater than 1500 mL/day, so this does not warrant reporting. This drug should be used short-term.

Answer to Question 2

ANS: A
Patients who are taking barbiturates should avoid alcohol. Barbiturates are for short-term use. Butabarbital has a sleep onset time of 1 hour, so it will not help patients fall asleep. Patients who take barbiturates frequently experience a hangover effect.

[serike]

Thank you!

[SAUXC]

Always glad to help...