A nurse is evaluating a client after measures to promote comfort have been implemented. Which of the following statements by the client indicates that the client has been comforted?

A. Retrograde amnesia is a known adverse effect of nonbenzodiazepine hypnotics (such as zolpidem, zaleplon, and eszopiclone). These medications can interfere with memory formation during the night, particularly if the client engages in activities after taking the drug without getting a full night of sleep. Nurses should monitor clients for gaps in memory or unusual behaviors and provide education on taking the medication immediately before bedtime with adequate sleep time.

B. Urinary discomfort is not commonly associated with nonbenzodiazepine hypnotics. This symptom is more likely related to urinary tract conditions or medications such as anticholinergics.

C. Dry mouth is not a typical adverse effect of nonbenzodiazepine hypnotics; it is more commonly seen with tricyclic antidepressants or certain antihistamines.

D. Hallucinations are rare but possible, usually at higher doses or in sensitive populations; however, retrograde amnesia is far more common and a primary concern when monitoring clients starting these medications.

A. Hyperactivity is not a common adverse effect of OTC sleep aids. These medications, which often contain antihistamines such as diphenhydramine, are generally sedating rather than stimulating, and they are more likely to cause drowsiness, grogginess, or confusion, especially in older adults.

B. Diarrhea is not typically associated with OTC sleep aids. While gastrointestinal upset can occasionally occur with any medication, diarrhea is not a characteristic or common adverse effect of these sedating agents.

C. Excessive salivation is not commonly seen with OTC sleep aids. In fact, antihistamine-containing sleep aids more often cause dry mouth rather than increased salivation due to their anticholinergic effects.

D. Urinary retention is a potential adverse effect of OTC sleep aids that contain antihistamines. Anticholinergic properties of these medications can reduce bladder detrusor muscle activity, making it difficult for clients to empty the bladder. This effect is particularly concerning in older adults or clients with preexisting urinary issues such as benign prostatic hyperplasia.