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?

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

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

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

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

Answer and Explanation

The Correct Answer is C

Choice A rationale

Explaining that the client needs to allow for sleep time of at least two hours after taking zolpidem is not the best action. While it’s true that zolpidem should be taken right before going to sleep, the client’s plan to take a short afternoon nap may not provide enough time for the effects of the medication to wear off, which could lead to drowsiness and potential safety issues.

Choice B rationale

Advising the client to take the medication with the noon meal is not the best action. Zolpidem should be taken on an empty stomach right before going to sleep. Taking it with food or right after a meal may decrease its effectiveness.

Choice C rationale

Encouraging the client to wait until bedtime to take the medication is the best action. Zolpidem is a sedative-hypnotic medication used to treat insomnia. It works quickly to put you to sleep and should be taken right before going to bed. Taking it during the day could lead to drowsiness and potential safety issues.

Choice D rationale

Reminding the client to drink plenty of fluids when taking the medication is not the best action. While staying hydrated is generally good advice, it’s not specifically related to the use of zolpidem. The key instruction for zolpidem is to take it right before going to bed.

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Correct Answer is B

Explanation

Choice A rationale

Tetracycline should not be consumed with milk or antacids. These substances contain calcium, which can bind to tetracycline in the stomach and reduce its absorption and effectiveness.

Choice B rationale

Tetracycline can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should be advised to protect their skin from sunlight while taking this medication.

Choice C rationale

Taking tetracycline with orange juice is not recommended. Citrus fruits and juices contain calcium, which can bind to tetracycline in the stomach and reduce its absorption and effectiveness.

Choice D rationale

Returning to the clinic weekly for serum drug level checks is not typically necessary for patients taking tetracycline. While regular follow-up appointments may be needed to monitor the patient’s response to treatment, weekly serum drug level checks are not a standard part of tetracycline therapy.

A. The best time to take the tablet is at bedtime. B. Crush the tablets and mix with pudding. C. Wait 2 hours after meals to take the tablet. D. Take the tablet with a daily multivitamin.

Correct Answer is C

Explanation

Choice A rationale

The best time to take ferrous sulfate is not necessarily at bedtime. It’s more important that the medication is taken on an empty stomach.

Choice B rationale

Crushing the tablets is not recommended. Enteric-coated tablets should be swallowed whole.

Choice C rationale

Ferrous sulfate is best absorbed on an empty stomach. The patient should wait for 2 hours after meals before taking the tablet to promote the best absorption of the medication.

Choice D rationale

Taking the tablet with a daily multivitamin is not typically recommended. Some vitamins and minerals can interfere with the absorption of ferrous sulfate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult patient at an outpatient clinic has been prescribed the antibiotic tetracycline HCI. What should the nurse include in the patient’s teaching plan?

Correct Answer is B

Explanation

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets.To promote the best absorption of the medication, what information should the nurse include in the discharge instructions?

Correct Answer is C

Explanation

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