Nokea
A 14-year-old client with insomnia is prescribed estazolam. After administering the drug, the nurse would assess the client for which of the following as an adverse reaction?
- A. Muscle pain
- B. Chest pain
- C. Heartburn
- D. Taste change
Correct Answer: C
Rationale: One of the adverse reactions of estazolam is heartburn. Muscle pain is an adverse reaction of zolpidem tartrate. Chest pain and taste change are caused by eszopiclone.
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A client who is prescribed a hypnotic asks the nurse, 'About how long will I be taking this medication?' Which time frame would the nurse most likely include in the response?
- A. 2 weeks
- B. 4 weeks
- C. 6 weeks
- D. 8 weeks
Correct Answer: A
Rationale: Sedatives and hypnotics are best given for no more than 2 weeks and preferably for a shorter time. Sedatives and hypnotics can become less effective after they are taken for a prolonged period.
Before administering a sedative or hypnotic to a client, the nurse would assess which of the following?
- A. Blood pressure
- B. Pulse
- C. Oxygen saturation level
- D. Respiratory rate
- E. Temperature
Correct Answer: A,B,D
Rationale: The nurse's preadministration assessment for a client receiving a sedative or hypnotic should include blood pressure, pulse, and respiratory rate.
A nurse would anticipate that a client receiving a sedative or hypnotic would experience an increased sedative effect if the client was also receiving which of the following?
- A. Antihistamines
- B. Phenothiazines
- C. Opioid analgesics
- D. NSAIDs
- E. Anticoagulants
Correct Answer: A,B,C
Rationale: An increased sedative effect occurs when sedatives or hypnotics are given with antihistamines, phenothiazines, and opioid analgesics.
A client is prescribed zolpidem. As part of the teaching plan, the nurse would emphasize the need to plan for the proper amount of sleep. The nurse determines that the teaching plan was successful when the client states that he will plan for how many hours of sleep at night?
- A. 5 to 6 hours
- B. 7 to 8 hours
- C. 9 to 10 hours
- D. 11 to 12 hours
Correct Answer: B
Rationale: With zolpidem it is important that the client plan to have 7 to 8 hours of sleep to reduce the risk of memory loss and confusion with this drug.
A client asks the nurse about using valerian to help him sleep. Which response by the nurse would be most appropriate?
- A. The herb is generally considered safe.
- B. You need to take it about 4 hours before bedtime.
- C. It might take 2 to 4 weeks before you notice the full benefit.
- D. You can combine it with other calming herbs.
- E. If you stop using it, you won't have any withdrawal symptoms.
Correct Answer: A,C,D
Rationale: Valerian is classified as 'generally recognized as safe' (GRAS) for use in the United States. When used as an aid to sleep, valerian is taken approximately 1 hour before bedtime. It can be used in combination with other calming herbs, such as lemon balm or chamomile. It may take 2 to 4 weeks before the full therapeutic effect (i.e., improvement of mood and sleep patterns) occurs. Individuals have been known to experience withdrawal symptoms when they stop taking valerian abruptly.