The nurse is caring for a patient who reports being able to fall ...

[lunatika]

The nurse is caring for a patient who reports being able to fall asleep but has difficulty staying asleep. The nurse will contact the provider to obtain an order for which medication?
 
  a. Butabarbital (Butisol)
  b. Flurazepam (Dalmane)
  c. Secobarbital (Seconal)
  d. Temazepam (Restoril)

Question 2

A patient reports difficulty falling asleep most nights and is constantly fatigued. The patient does not want to take medications to help with sleep. What nonpharmacologic measure will the nurse recommend?
 
  a. Exercise in the evening to promote bedtime fatigue.
  b. Get out of bed at the same time each morning.
  c. Have a glass of wine at bedtime to help you relax.
  d. Take daytime naps to minimize daytime fatigue.

[wshriver]

Answer to Question 1

ANS: A
Butabarbital is an intermediate-acting barbiturate and is useful as a sleep sustainer to maintain long periods of sleep. They have an onset of 1 hour, so are not useful for those who have trouble falling asleep. Flurazepam and temazepam are benzodiazepines and are used to induce sleep. Secobarbital is used for preoperative sedation.

Answer to Question 2

ANS: B
To promote sleep, patients should be advised to arise at the same time each morning to establish a routine. Patients should avoid strenuous exercise before bedtime. Patients should not consume alcohol 6 hours before bedtime. Patients should not take daytime naps.

[lunatika]

Thanks for the timely response, appreciate it

[kjohnson]

Excellent