When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Sleeps soundly through the night.
Decreased episodes of incontinence.
Improved ability to concentrate.
Exhibits fewer emotional outbursts.
The Correct Answer is A
Choice A reason: Sleeping soundly through the night is the desired outcome of administering zolpidem, which is a sedative-hypnotic that induces sleep by enhancing the activity of GABA, an inhibitory neurotransmitter. Zolpidem is used to treat insomnia, especially difficulty falling asleep.
Choice B reason: Decreasing episodes of incontinence is not a relevant outcome of administering zolpidem, which does not affect urinary function or bladder control. Incontinence may be caused by other factors, such as aging, prostate problems, or urinary tract infections.
Choice C reason: Improving ability to concentrate is not a pertinent outcome of administering zolpidem, which does not affect cognitive function or attention span. Zolpidem may actually impair memory and cause daytime drowsiness or confusion in some patients.
Choice D reason: Exhibiting fewer emotional outbursts is not a significant outcome of administering zolpidem, which does not affect mood or behavior. Zolpidem may actually cause paradoxical reactions, such as agitation, aggression, or hallucinations in some patients.
: [Zolpidem (Oral Route)]
: [Insomnia]
: [Urinary Incontinence]
: [Concentration Problems]
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hard candy can be used for a dry mouth, which is a common side effect of St. John's wort.
Choice B reason: Another form of contraception is needed, because St. John's wort can reduce the effectiveness of oral contraceptives and increase the risk of unplanned pregnancy. This information requires further instruction from the nurse.
Choice C reason: Insomnia may occur while taking the medication, which is another possible side effect of St. John's wort. The client should be advised to take the medication in the morning or afternoon, and avoid caffeine and alcohol.
Choice D reason: Sensitivity to the sun can develop, which is a rare but serious side effect of St. John's wort. The client should be instructed to wear sunscreen and protective clothing when exposed to sunlight.
Correct Answer is A
Explanation
Choice A reason: Storing unused vials at room temperature is incorrect information that indicates a need for further education by the nurse, because somatropin is a growth hormone that should be stored in the refrigerator (2°C to 8°C) until use. Exposure to heat or light can degrade the medication and reduce its effectiveness.
Choice B reason: Rotating injection sites to minimize discomfort is correct information that does not indicate a need for further education by the nurse, because somatropin is administered subcutaneously and repeated injections at the same site can cause skin irritation, bruising, or infection.
Choice C reason: Discarding the medication if the solution is cloudy is correct information that does not indicate a need for further education by the nurse, because somatropin is a clear and colorless solution that should not be used if it appears cloudy, discolored, or contains particles. This may indicate contamination or degradation of the medication.
Choice D reason: Administering the medication subcutaneously is correct information that does not indicate a need for further education by the nurse, because somatropin is a growth hormone that is given by subcutaneous injection using a syringe or a pen device. Subcutaneous injection allows for better absorption and bioavailability of the medication.
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