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 A

Explanation

Choice A rationale

Risedronate should be taken with a full glass of plain water on an empty stomach, at least 30 minutes before any food, beverage, or other medicines. This is because food and beverages can decrease the absorption of risedronate.

Choice B rationale

Delaying the medication until the patient’s breakfast tray arrives would not be appropriate, as risedronate needs to be taken on an empty stomach.

Choice C rationale

Consulting with a pharmacist about administering the dose one hour post-meal would not be appropriate, as risedronate should be taken on an empty stomach.

Choice D rationale

Assigning an unlicensed assistive personnel to bring the patient a glass of low-fat milk would not be appropriate, as risedronate should be taken with plain water.

A. The client primes the inhaler with 7 pumps. B. The client stores the medication at room temperature. C. The client rinses their mouth after each use. D. The client attaches a spacer device to the inhaler.

Correct Answer is A

Explanation

Choice A rationale

Ipratropium is a bronchodilator used to prevent bronchospasm in people with chronic obstructive pulmonary disease (COPD)3. The inhaler needs to be primed before use to ensure the right amount of medicine is delivered. However, priming the inhaler with 7 pumps is not recommended. Therefore, if the client primes the inhaler with 7 pumps, it indicates that additional teaching is needed.

Choice B rationale

Storing the medication at room temperature is the correct way to store ipratropium. Therefore, this action does not indicate that additional teaching is needed.

Choice C rationale

Rinsing the mouth after each use of the inhaler is a recommended practice. This helps to prevent dry mouth and throat irritation caused by the medication. Therefore, this action does not indicate that additional teaching is needed.

Choice D rationale

Attaching a spacer device to the inhaler can help improve the delivery of the medication. Therefore, this action does not indicate that additional teaching is needed.

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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

A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication.What should the nurse’s response be?

Correct Answer is A

Explanation

A client with a history of chronic obstructive pulmonary disease (COPD) has been prescribed a new ipratropium inhaler.Which action indicates to the nurse that additional teaching is needed?

Correct Answer is A

Explanation

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