A client has been prescribed zolpidem (Ambien) for insomnia. The client's spouse reports that the patient drives at night but does not remember it in the morning. Which of the following explains this behavior?
This is a side effect of this drug which will go away after 2 weeks.
This is a complex sleep behavior with memory loss associated with this drug.
This is a severe allergic reaction of this drug.
This means the drug is at toxic levels in your system.
The Correct Answer is B
A. Zolpidem can cause complex sleep behaviors like sleep-driving, and this side effect does not necessarily resolve after 2 weeks.
B. Zolpidem can lead to complex sleep behaviors, including sleep-driving, with associated memory loss.
C. Severe allergic reactions are not typically associated with memory loss and sleep-driving.
D. Toxic levels would present with more severe symptoms and are less likely to be solely characterized by sleep-driving.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Renal function tests are important for overall health but are not the priority in this scenario.
B. Propranolol can mask the symptoms of hypoglycemia, which is a common complication in clients with type 1 diabetes. The nurse should first check the client's blood glucose level to assess for hypoglycemia.
C. While blood pressure is important, the symptoms described are more indicative of hypoglycemia.
D. Serum electrolyte levels might be relevant but are not the immediate concern with the described symptoms.
Correct Answer is D
Explanation
A. Morphine is used for pain relief and to reduce stress on the heart during an acute myocardial infarction but is not continued indefinitely.
B. Heparin is an anticoagulant used during an acute myocardial infarction but is not used long-term; it is typically administered during hospitalization.
C. Streptokinase is a thrombolytic agent used to dissolve clots during an acute myocardial infarction but is not continued after the initial treatment.
D. Aspirin is an antiplatelet medication that helps prevent clot formation and is continued indefinitely after an acute myocardial infarction to reduce the risk of future events.
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