A female client is prescribed Zolpidem after reporting other over-the-counter medications and non-pharmacologic measures have been ineffective. What would not be included in your education points for this medication?

There is no risk for dependence or tolerance with this medication.

This medication is intended for short-term use only.

Stay away from alcohol when using this medication.

Stop using this medication if you become pregnant.

Answer and Explanation

The Correct Answer is A

A. There is no risk for dependence or tolerance with this medication: Zolpidem is a non-benzodiazepine sedative-hypnotic that carries a risk for dependence and tolerance, especially with prolonged use. Clients should be warned about potential misuse.

B. This medication is intended for short-term use only: Zolpidem is prescribed for short-term treatment of insomnia due to the risk of dependency, tolerance, and potential for rebound insomnia if used long-term.

C. Stay away from alcohol when using this medication: Alcohol intensifies the central nervous system depressant effects of zolpidem, increasing the risk of respiratory depression, impaired cognition, and accidents. Clients must be advised to avoid alcohol.

D. Stop using this medication if you become pregnant: Zolpidem is a pregnancy category C drug, meaning it may pose a risk to the fetus. Clients who are pregnant or planning to become pregnant should be advised to discontinue the medication and consult their healthcare provider immediately.

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Correct Answer is B

Explanation

A. Abdominal pain and abnormal liver function tests are expected effects: While rare side effects like abdominal discomfort or liver enzyme elevations can occur, they are not expected or common. Clients should report such symptoms promptly.

B. The medication is to be swallowed whole and taken before meals: Delayed-release PPIs (e.g., omeprazole, lansoprazole) must be swallowed whole to preserve the enteric coating that protects the drug from stomach acid. They should be taken before meals for optimal acid suppression when the proton pumps are most active.

C. May cause proctitis: Proctitis (inflammation of the rectum) is not a recognized side effect of oral proton pump inhibitors. This side effect is unrelated to PPI therapy and is more often associated with infections, radiation, or inflammatory bowel diseases.

D. Do not take with alcohol or any other CNS depressants: PPIs do not have CNS depressant effects and do not interact significantly with alcohol or CNS depressants. While limiting alcohol is generally advisable for gastrointestinal health, it is not specific to PPI use.

A. Phenazopyridine alleviates pain and burning during urination. B. Phenazopyridine decreases urinary frequency to control an overactive bladder C. Phenazopyridine is used to treat bacterial urinary tract infections (UTI) D. Phenazopyridine stimulates a hypotonic bladder to increase urine output.

Correct Answer is A

Explanation

A. Phenazopyridine alleviates pain and burning during urination: Phenazopyridine is a urinary analgesic that provides symptomatic relief from irritation caused by infections or urinary tract procedures. It specifically helps reduce burning, urgency, and discomfort during urination.

B. Phenazopyridine decreases urinary frequency to control an overactive bladder: This drug does not affect bladder muscle activity or control urinary frequency. Medications like oxybutynin or tolterodine are more appropriate for overactive bladder management.

C. Phenazopyridine is used to treat bacterial urinary tract infections (UTI): Phenazopyridine is not an antibiotic and does not eliminate the bacteria causing UTIs. It only relieves symptoms while antibiotic therapy treats the underlying infection.

D. Phenazopyridine stimulates a hypotonic bladder to increase urine output: It has no diuretic or bladder-stimulating effects. Phenazopyridine's role is strictly analgesic within the urinary tract and does not influence bladder tone or urine production.

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A female client is prescribed Zolpidem after reporting other over-the-counter medications and non-pharmacologic measures have been ineffective. What would not be included in your education points for this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a teaching tool about oral delayed release proton pump inhibitors used to treat duodenal ulcer disease caused by H. pylori. Which statement will the nurse include in their teaching?

Correct Answer is B

Explanation

The nurse is caring for a client diagnosed with a bladder infection and is prescribed phenazopyridine. When the client asks why am I taking this prescription"? How should the nurse respond?

Correct Answer is A

Explanation

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