Author Question: The nurse distinguishes medications used in general surgery as either hypnotic or sedative, or ... (Read 35 times)

Shelles · **on:** Jul 23, 2018

The nurse distinguishes medications used in general surgery as either hypnotic or sedative, or sedativehypnotic. The nurse can anticipate the anesthesiologist using which sedativehypnotic for induction of anesthesia?

1. Clorazepate (Tranxene)
2. Alprazolam (Xanax)
3. Thiopental sodium (Pentobarbital)
4. Temazepam (Restoril)

Question 2

A client diagnosed with generalized anxiety disorder is prescribed a tricyclic antidepressant, Doxepin (Sinequan). Which statement indicates that the client understands the actions of this medication?

1. I'm glad to have a medication that will take away my anxiety right away.
2. I'm glad the health care provider has ordered a medication that won't produce side effects.
3. I need to be careful not to take Sinequan for a long period, due to the possibility of drug dependency.
4. I might need to suck on sugar-free hard candy for my dry mouth.

daiying98 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Tranxene is a benzodiazepine used primarily for generalized anxiety disorder, partial seizures, and symptoms associated with alcohol withdrawal.
Rationale 2: Xanax is a benzodiazepine used primarily for management of generalized anxiety disorder and panic disorder.
Rationale 3: Pentobarbital is a sedativehypnotic that produces anesthesia at high doses.
Rationale 4: Restoril is a benzodiazepine approved for short-term therapy of insomnia.
Global Rationale: Pentobarbital is a sedativehypnotic that produces anesthesia at high doses. Tranxene is a benzodiazepine used primarily for generalized anxiety disorder, partial seizures, and symptoms associated with alcohol withdrawal. Xanax is a benzodiazepine used primarily for management of generalized anxiety disorder and panic disorder. Restoril is a benzodiazepine approved for short-term therapy of insomnia.

Answer to Question 2

Correct Answer: 4
Rationale 1: It takes several weeks for antidepressants to yield significant improvement in condition.
Rationale 2: Tricyclic antidepressants often have annoying anticholinergic effects.
Rationale 3: Tricyclic antidepressants do not cause dependence; however, as with any antipsychotic medication, it should be tapered before discontinuing entirely.
Rationale 4: Dry mouth is a common anticholinergic effect that is treated with increased fluid intake and sucking on sugar-free hard candy.
Global Rationale: Dry mouth is a common anticholinergic effect that is treated with increased fluid intake and sucking on sugar-free hard candy. It takes several weeks for antidepressants to yield significant improvement in condition. Tricyclic antidepressants often have annoying anticholinergic effects. Tricyclic antidepressants do not cause dependence; however, as with any antipsychotic medication, it should be tapered before discontinuing entirely.