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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Correct Answer is ["3"]

Explanation

Given:

Ordered dose of Furosemide: 30 mg

Concentration of Furosemide: 10 mg/mL

Step 1: Set up the proportion:

Desired dose (mg) / Volume to administer (mL) = Concentration (mg/mL)

Step 2: Substitute the values:

30 mg / Volume = 10 mg/mL

Step 3: Solve for the unknown volume:

Volume = 30 mg / (10 mg/mL)

Volume = 30 mg x (1 mL / 10 mg)

Volume = 3 mL

A. Teach the use of an incentive spirometer to a postoperative client B. Irrigate and perform a dressing change for a client who has a pressure injury wound C. Administer oral PRN pain medication to a client who has arthritis D. Obtain a daily weight on a client who has heart failure

Correct Answer is D

Explanation

A) Teach the use of an incentive spirometer to a postoperative client:
Teaching a patient how to use an incentive spirometer involves assessment, education, and clinical judgment. This task requires the nurse's expertise to ensure that the patient understands how to use the device correctly and to assess for any potential complications, such as inadequate lung expansion.

B) Irrigate and perform a dressing change for a client who has a pressure injury wound:
Irrigating and changing the dressing of a pressure injury involves clinical judgment, the need for sterile technique, and the assessment of the wound. These tasks should be performed by a registered nurse (RN), who can assess the condition of the wound, evaluate for signs of infection, and make decisions regarding further care.

C) Administer oral PRN pain medication to a client who has arthritis:
Administering PRN pain medication requires assessment of the patient's pain level, consideration of the medication’s effects, and clinical judgment regarding the appropriateness of the medication. This is a nursing responsibility because it involves both medication management and the evaluation of therapeutic effects.

D) Obtain a daily weight on a client who has heart failure:
Obtaining a daily weight is a task that can be safely delegated to an assistive personnel (AP). Weight is an important measurement for monitoring fluid status, especially in clients with heart failure. The AP can accurately weigh the client, ensuring that the same scale and conditions (such as time of day, after the patient has voided) are followed each time.

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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 furosemide 30 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurseadminister? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Correct Answer is D

Explanation

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