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?

The medication should be taken only as needed for sleep.

The medication should be taken with food to enhance absorption.

The medication should be tapered off gradually to avoid withdrawal symptoms.

The medication should be avoided if the client has a history of substance abuse.

Answer and Explanation

The Correct Answer is C

Correct answer: c) The medication should be tapered off gradually to avoid withdrawal symptoms.

Rationale: Zolpidem is a sedative-hypnotic medication that acts on the central nervous system to induce sleep. It has a low potential for abuse and dependence, but it can still cause withdrawal symptoms such as anxiety, insomnia, and seizures if discontinued abruptly. Therefore, the medication should be tapered off gradually under the supervision of a prescriber.

Incorrect choices:

a) The medication should be taken only as needed for sleep.: Zolpidem should be taken regularly as prescribed for short-term treatment of insomnia, not on an as-needed basis.

b) The medication should be taken with food to enhance absorption.: Zolpidem should be taken on an empty stomach to facilitate its onset of action, which is within 15 to 30 minutes.

d) The medication should be avoided if the client has a history of substance abuse.: Although zolpidem has a low potential for abuse and dependence, it can still interact with other substances such as alcohol, opioids, and benzodiazepines, which can increase the risk of respiratory depression and overdose. Therefore, the client should inform the prescriber of any history of substance abuse and use Zolpidem with caution.

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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.

A. Naloxone B. Flumazenil C. Acetylcysteine D. Physostigmine

Correct Answer is A

Explanation

Correct answer: a) Naloxone

Rationale: Naloxone is an opioid antagonist that binds to opioid receptors and displaces opioids from them, thereby reversing their effects. It is used as an antidote for opioid overdose and can rapidly restore respiration and consciousness.

Incorrect choices:

b) Flumazenil: This is a benzodiazepine antagonist that reverses the effects of benzodiazepines, not opioids.

c) Acetylcysteine: This is an antidote for acetaminophen overdose, not opioid overdose.

d) Physostigmine: This is an antidote for anticholinergic overdose, not opioid overdose.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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Correct Answer is A

Explanation

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?

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