Author Question: The nurse prepares to administer gamma-hydroxybutyrate (Xyrem) to a patient with narcolepsy. The ... (Read 41 times)

james9437 · **on:** Jul 23, 2018

The nurse prepares to administer gamma-hydroxybutyrate (Xyrem) to a patient with narcolepsy. The nurse provides education about the multiple side effects of this medication.

Which statement by the patient best indicates the need for further education?
a. I may experience depression.
b. I may experience a headache or dizziness.
c. I may wet the bed.
d. I may experience an increase in heart rate.

Question 2

The nurse is caring for a premature infant with respiratory distress syndrome (RDS). The nurse is preparing to administer surfactant to the infant. By which route would the nurse administer the surfactant to achieve the desired response?

The drug would be given
a. intravenously to reduce the risk of alveolar collapse.
b. by inhalation to promote bronchodilation of the lungs.
c. intrathecally to prevent hyperventilation.
d. by intratracheal instillation to lower surface tension in the lungs.

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

Answer to Question 1

ANS: D
Gamma-hydroxybutyrate does not cause an increase in the heart rate but may cause depressed respirations. This statement indicates a need for further teaching.
Gamma-hydroxybutyrate may cause depression, headache, dizziness, and bedwetting. No further teaching is needed.

Answer to Question 2

ANS: D
Surfactant lowers the surface tension forces that cause alveolar collapse and improves oxygenation and lung compliance. It is administered by direct intratracheal instillation.
Surfactant cannot be administered intravenously, by inhalation, or intrathecally. In addition, surfactant does not promote bronchodilation of the lungs or prevent hyperventilation.