An elderly client receives temazepam (Restoril) for sleep. Which assessment data is indicative of a potentially serious complication?

1. The client reports a dry mouth.
2. The client becomes agitated.
3. The client sleeps for 1 hour longer than usual.
4. The client reports a decrease in appetite.


Correct Answer: 2

Rationale 1: While dry mouth could be a side effect, it is easily managed, and not a serious complication.
Rationale 2: Medication can accumulate in the system of elderly clients and produce generalized brain dysfunction. This can result in agitation.
Rationale 3: Sleeping 1 extra hour would be a positive benefit.
Rationale 4: This medication is not an appetite suppressant, so it would not affect appetite.

Global Rationale: Medication can accumulate in the system of elderly clients and produce generalized brain dysfunction. This can result in agitation. While dry mouth could be a side effect, it is easily managed, and not a serious complication. Sleeping 1 extra hour would be a positive benefit. This medication is not an appetite suppressant, so it would not affect appetite.

Nursing

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