A nurse is reviewing the medication history of a client who has insomnia. The client reports that they have been taking Zolpidem for several months and that they sometimes take an extra pill if they wake up during the night. Which of the following statements by the nurse is appropriate?

"You should not take more than one pill per night because it can impair your memory and coordination."

"You should switch to a different medication because zolpidem is not effective for long-term use."

"You should try to avoid taking zolpidem because it can cause dependence and withdrawal symptoms."

"You should consult your doctor about reducing your dose because zolpidem can cause rebound insomnia."

Answer and Explanation

The Correct Answer is A

Correct answer: a) "You should not take more than one pill per night because it can impair your memory and coordination."

Rationale: Zolpidem is a hypnotic that can help with falling asleep and staying asleep. However, taking more than the recommended dose can cause adverse effects such as anterograde amnesia, impaired motor skills, and increased risk of falls and injuries.

Incorrect choices:
b) "You should switch to a different medication because zolpidem is not effective for long-term use.": This may not be necessary or appropriate for the client, as zolpidem may still be beneficial for their condition. The nurse should not suggest changing the medication without consulting the prescriber.
c) "You should try to avoid taking zolpidem because it can cause dependence and withdrawal symptoms.": This may not be realistic or helpful for the client, as zolpidem may be prescribed for a legitimate reason and may not cause dependence or withdrawal if used as directed.
d) "You should consult your doctor about reducing your dose because zolpidem can cause rebound insomnia.": This may not be relevant or accurate for the client, as rebound insomnia is more likely to occur with abrupt discontinuation of zolpidem rather than gradual dose reduction.

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Correct Answer is A

Explanation

Correct answer: a) Constricted pupils

Rationale: Opioids are central nervous system depressants that can cause miosis (constricted pupils), respiratory depression, bradycardia, hypotension, and sedation.

Incorrect choices:
b) Tachycardia: This is a sign of sympathetic stimulation, which can be caused by stimulants, withdrawal, or anxiety.
c) Hypertension: This is also a sign of sympathetic stimulation, which can be caused by stimulants, withdrawal, or anxiety.
d) Agitation: This is a sign of psychological distress, which can be caused by stimulants, withdrawal, or anxiety.

A. Assess the client's pain level and quality B. Educate the client about the dangers of opioid overdose C. Refer the client to a pain management specialist D. Notify the prescriber about the client's medication misuse

Correct Answer is A

Explanation

Correct answer: a) Assess the client's pain level and quality

Rationale: The first action the nurse should take when using the nursing process is to assess the client's condition. By assessing the client's pain level and quality, the nurse can determine the possible causes of their inadequate pain relief and plan appropriate interventions.

Incorrect choices:
b) Educate the client about the dangers of opioid overdose: This is an important action, but not the first one. The nurse should first assess the client's pain before providing education.
c) Refer the client to a pain management specialist: This may be a helpful action, but not the first one. The nurse should first assess the client's pain and collaborate with the prescriber before making referrals.
d) Notify the prescriber about the client's medication misuse: This is an essential action, but not the first one. The nurse should first assess the client's pain and communicate their findings to the prescriber.

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A nurse is reviewing the medication history of a client who has insomnia. The client reports that they have been taking Zolpidem for several months and that they sometimes take an extra pill if they wake up during the night. Which of the following statements by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a history of prescription drug abuse. Which of the following findings is a possible indicator of opioid misuse?

Correct Answer is A

Explanation

A nurse is caring for a client who has chronic pain and is prescribed oxycodone. The client reports that they have been taking more than the prescribed dose because their pain is not well controlled. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is reviewing the medication history of a client who has insomnia. The client reports that they have been taking Zolpidem for several months and that they sometimes take an extra pill if they wake up during the night. Which of the following statements by the nurse is appropriate?

A client is prescribed methylphenidate for attention-deficit/hyperactivity disorder (ADHD). The client tells the nurse that they sometimes take more than the prescribed dose to study for exams. What is the nurse's best response?

A nurse is teaching a group of clients about the safe use of prescription drugs. Which of the following information should the nurse include in the teaching? (Select all that apply.)