This topic contains a solution. Click here to go to the answer

Author Question: A patient takes temazepam Restoril for insomnia. The patient tells the nurse that a recent telephone ... (Read 27 times)

rlane42

  • Hero Member
  • *****
  • Posts: 594
A patient takes temazepam Restoril for insomnia. The patient tells the nurse that a recent telephone bill lists several calls to friends that the patient does not remember making. What will the nurse do?
 
  a. Ask the patient about any alcohol con-sumption in conjunction with the benzo-diazepine.
  b. Contact the prescriber to request an order for a benzodiazepine with a shorter dura-tion.
  c. Reassure the patient that this is most likely caused by a paradoxical reaction to the benzodiazepine.
  d. Tell the patient that this is an example of anterograde amnesia, which is an expected effect of the benzodiazepine.

Question 2

A patient who is experiencing alcohol withdrawal is given a benzodiazepine. The nurse understands that this drug is effective because:
 
  a. the alcohol does not interact with the benzodiazepine.
  b. the benzodiazepine potentiates alcohol withdrawal symptoms.
  c. the benzodiazepine relieves muscle spasms and spasticity.
  d. the patient has a cross-dependence to the benzodiazepine.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ky860224

  • Sr. Member
  • ****
  • Posts: 350
Answer to Question 1

A
This patient is describing complex sleep-related behavior, which occurs when patients carry out complex behaviors while taking benzodiazepines but have no memory of their actions. These actions can occur with normal doses but are more likely with excessive doses or when benzodia-zepines are combined with alcohol or other CNS depressants, so the nurse is correct in evaluating this possibility. The duration of the benzodiazepine does not contribute to this phenomenon. Pa-radoxical effects of benzodiazepines include insomnia, excitation, euphoria, anxiety, and rage. Anterograde amnesia occurs when patients have impaired recall of events that occur after dosing.

Answer to Question 2

D
Benzodiazepines are given to ease withdrawal from alcohol because of cross-dependence with these drugs and alcohol, enabling the benzodiazepine to suppress withdrawal symptoms. Alcohol and benzodiazepines can potentiate one another. The benzodiazepine does not potentiate with-drawal symptoms. Benzodiazepines relieve muscle spasms, but this is not why they are given for alcohol withdrawal.




rlane42

  • Member
  • Posts: 594
Reply 2 on: Jul 23, 2018
:D TYSM


parker125

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Excellent

 

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

It is difficult to obtain enough calcium without consuming milk or other dairy foods.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

For a complete list of videos, visit our video library