A client whose work schedule is made up of unpredictable hours requests medication to be able to fall asleep quickly, yet be able to safely drive to work after 4 to 6 hours of sleep
Based on speed of onset and speed of elimination, the nurse correctly identifies the MOST appropriate medication for this client to be: a. diazepam (Valium)
b. diphenhydramine (Benadryl)
c. zaleplon (Sonata)
d. zolpidem (Ambien)
C
Based on the speed of onset and the speed of elimination, the nurse would identify zaleplon as being the most appropriate medication. Both zaleplon and zolpidem act on the GABA receptor. However, because zaleplon is eliminated from the body quicker, it is better at inducing sleep than maintaining uninterrupted sleep. Also, there are fewer symptoms upon awakening, lessening driving impairment 4 to 6 hours after the medication has been administered.
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After teaching a client who is prescribed salmeterol (Serevent), the nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?
a. "I will be certain to shake the inhaler well before I use it." b. "It may take a while before I notice a change in my asthma." c. "I will use the drug when I have an asthma attack." d. "I will be careful not to let the drug escape out of my nose and mouth."
A client is diagnosed as having Stage 1 Alzheimer disease. Which are appropriate goals for the client and family at this time?
Select all that apply. A) Resolving grief over the diagnosis B) Deciding on the desired treatment and selecting a healthcare proxy; sharing the treatment decision with the healthcare proxy C) Beginning cognitive-enhancing medication, such as Aricept D) Setting up a protective physical environment-such as removing throw rugs
A confused client is hospitalized for possible pneumonia and is admitted from the emergency department with an indwelling catheter in place. During interdisciplinary rounds the following day, what question by the nurse takes priority?
a. "Do you want daily weights on this client?" b. "Will the client be able to return home?" c. "Can we discontinue the in-dwelling ca-theter?" d. "Should we get another chest x-ray to-day?"
Children who are aged 8 to 10 years are generally able to understand and should have treatment explained to them
Older children who have good maturity and intellectual ability can sign (along with parents or guardians) consent for treatments such as chemotherapy for childhood cancer treatment. A) True B) False