A client who has insomnia is prescribed zolpidem, a controlled substance, by their primary care provider. The client tells the nurse that they have been taking more than the prescribed dose because they still have trouble falling asleep. Which of the following responses should the nurse make?

"You should not take more than the prescribed dose because it can cause dependence and withdrawal symptoms."

"You should talk to your provider about changing your medication because zolpidem is not effective for you."

"You should try some nonpharmacological methods to improve your sleep quality, such as relaxation techniques and avoiding caffeine."

All of the above.

Answer and Explanation

The Correct Answer is D

Correct answer: d) All of the above.
Rationale: The nurse should provide all of these responses to educate the client about the risks and alternatives of taking zolpidem, a controlled substance. Taking more than the prescribed dose can lead to physical and psychological dependence, tolerance, and withdrawal symptoms, which can be dangerous and unpleasant. Changing the medication may be necessary if zolpidem is not effective for the client's insomnia, as there may be other underlying causes or better options for treatment. Trying some nonpharmacological methods can also help improve sleep quality and reduce reliance on medications.

Incorrect choices:
a) "You should not take more than the prescribed dose because it can cause dependence and withdrawal symptoms.": This is correct but not comprehensive as it does not include other responses that are helpful for the client.
b) "You should talk to your provider about changing your medication because zolpidem is not effective for you.": This is correct but not comprehensive as it does not include other responses that are helpful for the client.
c) "You should try some nonpharmacological methods to improve your sleep quality, such as relaxation techniques and avoiding caffeine.": This is correct but not comprehensive as it does not include other responses that are helpful for the client.

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Correct Answer is A

Explanation

Correct answer: a) Constipation

Rationale: Oxycodone is an opioid analgesic that acts on the central nervous system to relieve pain. It also has peripheral effects, such as decreasing gastrointestinal motility and secretion, which can cause constipation. The nurse should advise the client to increase fluid and fiber intake, exercise regularly, and use stool softeners or laxatives as needed to prevent or treat constipation.

Incorrect choices:

b) Hypertension: Oxycodone can cause hypotension, not hypertension, due to its vasodilatory effect.

c) Tachycardia: Oxycodone can cause bradycardia, not tachycardia, due to its vagal stimulation effect.

d) Diarrhea: Oxycodone can cause constipation, not diarrhea, due to its decreased gastrointestinal motility and secretion effect.

A. "Sharing your medication with others is illegal and can result in serious consequences for you and your friends." B. "Your medication is specifically tailored to your needs and may not be appropriate or safe for others." C. "Your friends should see a psychiatrist if they have ADHD and need medication treatment." D. All of the above.

Correct Answer is D

Explanation

Correct answer: d) All of the above.
Rationale: The nurse should make all of these statements to discourage
the client from sharing their medication with others. Sharing controlled substances with others is illegal and can result in criminal charges, fines, or imprisonment for both parties. It can also cause harm to others who may have different medical conditions, allergies, or interactions with other medications. Methylphenidate is a stimulant that can cause adverse effects such as increased blood pressure, heart rate, anxiety, insomnia, and appetite suppression. It can also be addictive and abused by some people. Therefore, it should only be taken by a person who has a valid prescription and under the supervision of a psychiatrist who can monitor the dosage, effectiveness, and side effects.

Incorrect choices:
a) "Sharing your medication with others is illegal and can result in serious consequences for you and your friends.": This is correct but not comprehensive as it does not include other statements that are important for the client.
b) "Your medication is specifically tailored to your needs and may not be appropriate or safe for others.": This is correct but not comprehensive as it does not include other statements that are important for the client.
c) "Your friends should see a psychiatrist if they have ADHD and need medication treatment.": This is correct but not comprehensive as it does not include other statements that are important for the client.

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A client who has insomnia is prescribed zolpidem, a controlled substance, by their primary care provider. The client tells the nurse that they have been taking more than the prescribed dose because they still have trouble falling asleep. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication list of a client who has chronic pain and takes oxycodone, a Schedule II medication, on a regular basis. The nurse should monitor the client for which of the following adverse effects of oxycodone?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

A client is admitted to the emergency department with signs of opioid overdose, such as pinpoint pupils, respiratory depression, and altered mental status. The nurse anticipates that the prescriber will order which of the following medications to reverse the effects of the opioid?

A client is prescribed morphine sulfate, a Schedule II medication, for severe postoperative pain. The nurse knows that this medication has which of the following characteristics?

A nurse is teaching a client who has insomnia about zolpidem, a Schedule IV medication. The nurse should include which of the following information in the teaching?

A client who has insomnia is prescribed zolpidem, a controlled substance, by their primary care provider. The client tells the nurse that they have been taking more than the prescribed dose because they still have trouble falling asleep. Which of the following responses should the nurse make?

A nurse is reviewing the medication list of a client who has chronic pain and is prescribed oxycodone, a controlled substance. Which of the following actions should the nurse take?

A nurse is caring for a client who has schizophrenia and takes clozapine, a Schedule V medication. The nurse should monitor the client for which of the following serious adverse effects of clozapine?

A client is prescribed diazepam, a Schedule IV medication, for anxiety. The nurse should instruct the client to avoid which of the following substances while taking this medication?