A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?

Remind the client to drink plenty of fluids when taking the medication.

Encourage the client to wait until bedtime to take the medication.

Advise the client to take the medication with the noon meal.

Explain that the client needs to allow for sleep time of at least two hours.

Answer and Explanation

The Correct Answer is B

A. Remind the client to drink plenty of fluids when taking the medication:

Drinking fluids with zolpidem is not a primary concern in this situation. The main issue is the timing of the medication.

When a client with a new prescription for zolpidem, a hypnotic, plans to take a dose of the medication during the day for a short afternoon nap, the nurse should take the following action:

B. Encourage the client to wait until bedtime to take the medication.

Explanation: Zolpidem is a medication primarily prescribed to help individuals with insomnia fall asleep more easily when taken at bedtime. Taking it during the day, especially for a short nap, can lead to drowsiness, impaired coordination, and reduced alertness during activities. It is not intended for daytime use or for short naps during the day. The nurse should encourage the client to take the medication as prescribed, at bedtime, to ensure safe and effective use.

C. Advise the client to take the medication with the noon meal:

Zolpidem is not typically taken with meals. Again, the primary concern is the timing of the medication.

D. Explain that the client needs to allow for sleep time of at least two hours:

While it's important to allow for sufficient sleep time after taking zolpidem to minimize the risk of impaired alertness and coordination, the client should be encouraged to take the medication at bedtime rather than during the day to ensure it works as intended.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E","F"]

Explanation

Options A, C, D, E, and F may affect insulin requirements and should be considered in the client's care plan.

The home medications that may affect the amount of insulin needed by the client are:

A. Corticosteroids: Corticosteroids can increase blood glucose levels, which may require an adjustment in insulin dosage.

C. Oral contraceptives: Some oral contraceptives may affect insulin sensitivity, potentially requiring adjustments in insulin dosage.

D. St. John's Wort: St. John's Wort can impact the metabolism of insulin and may lead to fluctuations in blood glucose levels, necessitating adjustments in insulin dosing.

E. Fluconazole: Fluconazole may affect blood glucose levels and may require monitoring and potential adjustments in insulin dosing.

F. Epinephrine: Epinephrine can lead to increases in blood glucose levels, and insulin dosage may need to be adjusted.

B. Ibuprofen: Ibuprofen is not typically associated with significant effects on insulin or blood glucose levels.

A. Remind the client to drink plenty of fluids when taking the medication. B. Encourage the client to wait until bedtime to take the medication. C. Advise the client to take the medication with the noon meal. D. Explain that the client needs to allow for sleep time of at least two hours.

Correct Answer is B

Explanation

A. Remind the client to drink plenty of fluids when taking the medication:

Drinking fluids with zolpidem is not a primary concern in this situation. The main issue is the timing of the medication.

When a client with a new prescription for zolpidem, a hypnotic, plans to take a dose of the medication during the day for a short afternoon nap, the nurse should take the following action:

B. Encourage the client to wait until bedtime to take the medication.

Explanation: Zolpidem is a medication primarily prescribed to help individuals with insomnia fall asleep more easily when taken at bedtime. Taking it during the day, especially if the client plans to engage in activities afterward, can lead to drowsiness, impaired coordination, and reduced alertness. It is not intended for daytime use or for short naps during the day. The nurse should encourage the client to take the medication as prescribed, at bedtime, to ensure safe and effective use.

C. Advise the client to take the medication with the noon meal:

Zolpidem is not typically taken with meals. Again, the primary concern is the timing of the medication.

D. Explain that the client needs to allow for sleep time of at least two hours:

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D","E","F"]

Explanation

Correct Answer is B

Explanation

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