Nokea
A nurse suggests melatonin to a client traveling overseas on a 2-week business trip to help with jet lag. The nurse would alert the client to the possibility of which adverse reaction?
- A. Depression
- B. Hypotension
- C. Headache
- D. Dry mouth
- E. Constipation
Correct Answer: A,C
Rationale: The nurse should advise the client that headache, depression, and allergic reaction are possible adverse reactions that can occur with the use of melatonin.
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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.
After administering a hypnotic drug to a client, the nurse would assess which of the following?
- A. Blood pressure
- B. Blood glucose level
- C. Drug efficacy
- D. Level of consciousness
- E. Respiratory rate
Correct Answer: A,C,D,E
Rationale: The nurse's ongoing assessment for the administration of a hypnotic drug should include assessment of the client's vital signs, level of consciousness, and drug efficacy.
A client admitted to the health care facility for insomnia related to stress is prescribed a sedative. Which of the following would the nurse include in the plan of care to promote the effectiveness of the drug?
- A. Encourage plenty of fluids.
- B. Provide back rubs.
- C. Offer fiber-rich food.
- D. Give the client coffee or tea.
Correct Answer: B
Rationale: Back rubs are relaxing and help promote the effectiveness of the sedative. Fluids and fiber prevent constipation. Coffee and tea contain caffeine, which could interfere with the drug's effectiveness.
A nurse emphasizes the need to avoid caffeine and caffeinated beverages with a client undergoing treatment for insomnia based on the nurse's understanding that caffeine will most likely have which effect?
- A. Wakefulness
- B. Depression
- C. Delirium
- D. Restlessness
Correct Answer: A
Rationale: Clients with insomnia should not drink beverages containing caffeine because it can cause wakefulness. Caffeine does not causeexplains why avoiding caffeine is important for clients with insomnia, as it can counteract the sedative effects of medications, leading to wakefulness.
Which of the following are examples of supportive care the nurse can provide to a client receiving a sedative or hypnotic drug to promote the effects of the drug?
- A. Darkening the client's room
- B. Discouraging caffeine intake
- C. Providing a quiet atmosphere
- D. Administering back rubs
- E. Waking the client to check consciousness
Correct Answer: A,B,C,D
Rationale: To promote the effects of the sedative or hypnotic drug, the nurse can provide supportive care, such as giving back rubs, using night lights or making the room dark, providing a quiet atmosphere, and discouraging caffeine use.