Causes and risk factors
Causes and risk factors ( 6 Questions)
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?
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.
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.
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.
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.
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.