A nurse is teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?

Memory loss

Dry mouth

Hypertension

Urinary retention

Answer and Explanation

The Correct Answer is A

A) Memory loss:
Zolpidem, a sedative-hypnotic commonly prescribed for insomnia, can cause memory problems, including short-term memory loss. This is a known adverse effect of zolpidem, especially when taken in higher doses or when a person is not able to get a full night’s sleep after taking the medication. This side effect can manifest as amnesia or difficulty recalling events that occurred while under the influence of the medication.

B) Dry mouth:
While dry mouth is a common side effect of many medications, including some antihistamines and antidepressants, it is not a typical or major adverse effect associated with zolpidem. Though less common, it may occur in some individuals, but it is not considered a primary or significant adverse effect of this drug.

C) Hypertension:
Zolpidem does not typically cause hypertension. In fact, it is more likely to cause a calming effect that may lead to a decrease in blood pressure, particularly in individuals who experience sedation. It is important for the nurse to monitor for any unusual changes in vital signs, but hypertension is not a known adverse effect of zolpidem.

D) Urinary retention:
Urinary retention is more commonly associated with medications that affect the autonomic nervous system, such as antihistamines, anticholinergics, or certain opioids. Zolpidem is not typically associated with urinary retention. While any sedative could potentially cause mild disruptions in normal bladder function due to its sedative properties, urinary retention is not a frequent or well-known side effect of zolpidem.

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Free Nursing Study Resources

Correct Answer is ["10"]

Explanation

Set up the dosage calculation:

Desired dose:5 mg

Available dose:0.5 mg/tablet

We need to find out how many tablets will contain 5 mg of digoxin.

Use the formula:

Number of tablets = Desired dose (mg) / Available dose (mg/tablet)

Plug in the values and calculate:

Number of tablets = 5 mg / 0.5 mg/tablet

Number of tablets = 10 tablets

Round to the nearest whole number:

10 tablets

A. Chloride 112 B. Calcium 7.5 C. Potassium 4.0 D. Calcium 12.1

Correct Answer is B

Explanation

A) Chloride 112:
Chloride levels are typically not directly associated with numbness or tingling of the hands and fingers. Elevated chloride levels (greater than 108 mEq/L) may indicate metabolic acidosis, but they would not directly explain the symptoms seen in this client following parathyroidectomy. Therefore, this value is unlikely to be relevant in this scenario.

B) Calcium 7.5:
After the partial removal of the parathyroid glands, the client may experience hypocalcemia, or low calcium levels, due to the reduced production of parathyroid hormone (PTH). PTH helps regulate calcium levels in the blood. When the parathyroid glands are removed or damaged, there may be insufficient PTH to maintain normal calcium levels, leading to hypocalcemia. Symptoms of hypocalcemia include numbness and tingling, especially in the hands and fingers. A calcium level of 7.5 mg/dL is below the normal range (8.5–10.5 mg/dL), indicating hypocalcemia, which is consistent with the patient's symptoms.

C) Potassium 4.0:
A potassium level of 4.0 mEq/L is within the normal range (3.5–5.0 mEq/L) and does not typically cause numbness or tingling. Although potassium imbalances can cause neuromuscular symptoms, they would not be the most likely cause of the symptoms in this case, especially in relation to parathyroidectomy.

D) Calcium 12.1:
A calcium level of 12.1 mg/dL is elevated and would suggest hypercalcemia. Hypercalcemia can cause symptoms like fatigue, confusion, and weakness, but it does not typically cause numbness and tingling in the hands and fingers. Elevated calcium levels are more likely to occur in conditions such as hyperparathyroidism or malignancy, not typically following parathyroid gland removal. Therefore, this is not the expected lab result in this scenario.

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A nurse is teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer digoxin 5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number, Use leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

The nurse is caring for client who has had partial removal the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see?

Correct Answer is B

Explanation

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