Nokea
A client is admitted to a local health care facility for chronic insomnia. The primary health care provider prescribes eszopiclone. Which of the following would the nurse encourage the client to avoid when teaching the client about this drug?
- A. Strenuous work
- B. Alcohol consumption
- C. Tobacco use
- D. Direct sunlight
Correct Answer: B
Rationale: The nurse should instruct the client to avoid alcohol during the period of eszopiclone therapy as alcohol interacts with eszopiclone to cause CNS depression. Strenuous work, use of tobacco, and exposure to sunlight are not of concern.
You may also like to solve these questions
A nurse anticipates the use of a sedative and hypnotic for which of the following?
- A. Headache
- B. Status epilepticus
- C. Preoperative sedation
- D. Insomnia
- E. Hypertension
Correct Answer: B,C,D
Rationale: Sedatives and hypnotics are used in the treatment of insomnia, convulsions, status epilepticus, and seizures and in preoperative and conscious sedation.
A nurse is preparing an in-service presentation about hypnotics. Which of the following would the nurse plan to include?
- A. Usually, given during the daytime hours
- B. Helpful in reducing anxiety
- C. Most likely administered at bedtime
- D. Exert a calming effect
Correct Answer: C
Rationale: A hypnotic is a drug that induces drowsiness or sleep, meaning it allows the patient to fall asleep and stay asleep. Hypnotics are given at night or bedtime. A sedative is a drug that produces a relaxing, calming effect. Sedatives are usually given during daytime hours, and although they may make the patient drowsy, they usually do not produce sleep.
Which nursing diagnosis would most likely be a priority for a client receiving a hypnotic who is experiencing confusion and excessive drowsiness in the morning?
- A. Ineffective Breathing Pattern
- B. Risk for Injury
- C. Ineffective Coping
- D. Impaired Self Health Management
Correct Answer: B
Rationale: Confusion and excessive morning drowsiness would impact the client's ability to function safely, thereby placing the client at risk for injury. Ineffective Breathing Pattern would be appropriate if the client experienced respiratory depression. Ineffective Coping would be appropriate if more than short-term use of the agent would be required. Impaired Self Health Management would be appropriate if the client was unable to comply with or adhere to the prescribed medication regimen.
After teaching a group of nursing students about sedatives and hypnotics, the instructor determines that additional teaching is needed when the students identify the absorption of which drug as being affected by a high Vat high-fat meal?
- A. Zolpidem
- B. Eszopiclone
- C. Ramelteon
- D. Zaleplon
Correct Answer: A
Rationale: Zolpidem should not be taken with food. A high-fat meal or snack can interfere with the absorption of eszopiclone, ramelteon, and zaleplon.
A nurse understands that sedatives and hypnotics are used to treat insomnia, which may be caused by which of the following?
- A. Hospitalization
- B. Chronic pain
- C. Stress
- D. Anxiety
- E. Jet lag
Correct Answer: A,B,C,D,E
Rationale: Insomnia may be caused by lifestyle changes, such as a new job, moving to a new town, or returning to school; jet lag; chronic pain; headaches; stress; anxiety; or hospitalization.