Author Question: The nurse finds that a patient is extremely agitated, yells frequently, and is attempting to get out ... (Read 65 times)

james · **on:** Jul 24, 2018

The nurse finds that a patient is extremely agitated, yells frequently, and is attempting to get out of bed without assistance. What is the nurse's initial action?

a. Administer zolpidem after taking the patient's vital signs.
b. Close the patient's door for privacy after administering Tylenol.
c. Administer benzodiazepine before calling the health care provider.
d. Spend uninterrupted time listening to the patient.

Question 2

An older adult patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse discovers that the patient has removed her gown and is attempting to get out of bed without assistance. What type of medication effect is the patient exhibiting?

a. Allergic
b. Hypersensitivity
c. Paradoxical
d. Therapeutic

matt95 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D
Assessing the patient's level of anxiety is important. The patient may only need someone to listen to what stressors he or she is facing. The nurse must assess the patient before medication can be administered.

Answer to Question 2

ANS: C
A paradoxical effect may occur in older adult patients. This includes periods of excitement, confusion, restlessness, and euphoria. Allergies to medications tend to manifest in skin or respiratory symptoms. A patient who is hypersensitive to a hypnotic would be difficult to rouse. A therapeutic effect for a hypnotic would be sedation.