A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?

Remind the client to drink plenty of fluids when taking the medication.

Encourage the client to wait until bedtime to take the medication.

Advise the client to take the medication with the noon meal.

Explain that the client needs to allow for sleep time of at least two hours.

Answer and Explanation

The Correct Answer is B

A. Remind the client to drink plenty of fluids when taking the medication:

Drinking fluids with zolpidem is not a primary concern in this situation. The main issue is the timing of the medication.

When a client with a new prescription for zolpidem, a hypnotic, plans to take a dose of the medication during the day for a short afternoon nap, the nurse should take the following action:

B. Encourage the client to wait until bedtime to take the medication.

Explanation: Zolpidem is a medication primarily prescribed to help individuals with insomnia fall asleep more easily when taken at bedtime. Taking it during the day, especially for a short nap, can lead to drowsiness, impaired coordination, and reduced alertness during activities. It is not intended for daytime use or for short naps during the day. The nurse should encourage the client to take the medication as prescribed, at bedtime, to ensure safe and effective use.

C. Advise the client to take the medication with the noon meal:

Zolpidem is not typically taken with meals. Again, the primary concern is the timing of the medication.

D. Explain that the client needs to allow for sleep time of at least two hours:

While it's important to allow for sufficient sleep time after taking zolpidem to minimize the risk of impaired alertness and coordination, the client should be encouraged to take the medication at bedtime rather than during the day to ensure it works as intended.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Obtain daily weights:

Daily weights are more relevant for monitoring fluid balance and assessing for edema, which is not a common adverse reaction to tamsulosin.

B. Perform a bladder scan:

Bladder scans may be used to assess for urinary retention or post-void residual urine, but this is not a primary intervention to monitor for adverse reactions to tamsulosin.

C. Assess urine output:

Monitoring urine output is important to assess for urinary retention or changes in urinary function, but it is not the primary intervention for monitoring adverse reactions to tamsulosin.

When a client with benign prostatic hyperplasia (BPH) receives a new prescription for tamsulosin, the nurse should perform the following intervention to monitor for an adverse reaction:

D. Monitor blood pressure.

Explanation: Tamsulosin is an alpha-blocker medication used to relax the smooth muscle in the prostate and bladder neck, thereby improving urinary flow in clients with BPH. However, a potential side effect of alpha-blockers, including tamsulosin, is orthostatic hypotension, which can lead to a sudden drop in blood pressure upon standing. Therefore, monitoring the client's blood pressure is essential to assess for any significant decreases that could result from this medication. Clients should be advised to rise slowly from a sitting or lying position to minimize the risk of orthostatic hypotension.

A. Serum glucose level of 120 mg/dL (6.7 mmol/L). B. Serum ammonia level of 30 Mcg/dL (17.62 Mamal /dL) C. Serum potassium level of 3.8 mEq/L (3.8 mmol/L) D. Hemoglobin level of 13.5 g/dl (135 g/L)

Correct Answer is C

Explanation

A. Serum glucose level of 120 mg/dL (6.7 mmol/L):

This glucose level is within the reference range and is not directly related to the effectiveness of sodium polystyrene sulfonate in treating hyperkalemia.

B. Serum ammonia level of 30 Mcg/dL (17.62 Mamal /dL):

Serum ammonia levels are not typically affected by sodium polystyrene sulfonate, and this value is within the reference range.

When administering sodium polystyrene sulfonate to a client with acute kidney injury (AKI), the medication is used to help lower elevated potassium levels (hyperkalemia). Therefore, the laboratory finding that indicates the medication has been effective is:

C. Serum potassium level of 3.8 mEq/L (3.8 mmol/L).

Explanation: Sodium polystyrene sulfonate is a medication used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, leading to the removal of excess potassium from the body through the stool. A reduction in the serum potassium level within the reference range (3.5 to 5.0 mEq/L) indicates that the medication has been effective in lowering the elevated potassium level associated with AKI.

D. Hemoglobin level of 13.5 g/dl (135 g/L):

Hemoglobin levels are unrelated to the effectiveness of sodium polystyrene sulfonate in treating hyperkalemia. This hemoglobin level is within the reference range.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Laboratory Test	Result	reference range
Serum Creatinine	1 mg/dl (88.4 μmol/L)	0.5-1.1 mg/dL (44-97 μmol/L)
BUN	9 mg/dl. (3.2 mmol/L)	10-20 mg/dl. (3.6-7.1 mmol/L)
Sodium	136 mEq/L (136 mmol/L)	136 to 145 mEq/L (136 to 145 mmol/L)
Potassium	6.1 mEq/L (6.1 mmol/L)	3.5 to 5 mEq/L (3.5 to 5 mmol/L)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?

After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take?

A nurse is caring for a client. Exhibits The nurse prepares to give 2 units of insulin lispro. What should the nurse double-check with a second nurse? Select all that apply.

A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to repart?

A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?