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.

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

Correct answer: d) All of the above.

Rationale: The nurse should follow all of these actions to ensure the safe and legal administration of controlled substances. These actions help prevent medication errors, diversion, and misuse of controlled substances.

Incorrect choices:
a) Verify the client's identity using two identifiers before administering the medication.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.
b) Document the administration of the medication on a separate controlled substance record.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.
c) Count the remaining tablets of oxycodone with another nurse at the end of each shift.: This is correct but not comprehensive as it does not include other actions that are required for controlled substances.

A. Agranulocytosis B. Stevens-Johnson syndrome C. Torsades de pointes D. Rhabdomyolysis

Correct Answer is A

Explanation

Correct answer: a) Agranulocytosis

Rationale: Clozapine is an atypical antipsychotic that acts on the central nervous system to reduce psychotic symptoms such as hallucinations, delusions, and paranoia. It also has a low potential for abuse and dependence, which is why it is classified as a Schedule V medication. However, it can cause agranulocytosis, a life-threatening condition characterized by a severe decrease in white blood cells that increases the risk of infection. The nurse should monitor the client's complete blood count (CBC) regularly and report any signs of infection such as fever, sore throat, or mouth ulcers.

Incorrect choices:

b) Stevens-Johnson syndrome: This is a rare but serious skin reaction that can be caused by some medications such as sulfonamides, anticonvulsants, and allopurinol, not clozapine.

c) Torsades de pointes: This is a rare but serious cardiac arrhythmia that can be caused by some medications such as antiarrhythmics, antibiotics, and antidepressants that prolong the QT interval, not clozapine.

d) Rhabdomyolysis: This is a rare but serious condition characterized by muscle breakdown and renal failure that can be caused by some medications such as statins, antipsychotics, and corticosteroids, not clozapine.

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

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 is prescribed oxycodone, a controlled substance. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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?

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 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 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 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 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?