Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because:

1. Zolpidem should be taken just before going to bed.
2. Zolpidem may cause dry mouth and constipation.
3. Patients may need to double the dose for effectiveness.
4. They should stop drinking alcohol at least 30 minutes before taking zolpidem.


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Nursing

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On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore

The nurse bases subsequent nursing interventions on what diagnosis? a. Disturbed body image related to removal of her breast b. Deficient knowledge related to inadequate education c. Impaired social interaction related to depression d. Fear related to the cancer diagnosis and surgical intervention

Nursing

A 62-year-old male patient has been prescribed allopurinol (Zyloprim) for the treatment of gout. When providing health education to this patient about his new medication, the nurse should know that this drug achieves a therapeutic effect by:

A) Interrupting the breakdown of purines B) Increasing renal excretion of uric acid C) Buffering the presence of uric acid in joints D) Inhibiting the inflammatory process

Nursing

The nurse managers of a home health care office wish to maximize nurses' freedom to characterize and record client conditions and situations in the nurses' own terms. Which of the following documentation formats is most likely to promote this goal?

A) Narrative notes B) SOAP notes C) Focus charting D) Charting by exception

Nursing

A Latino American male client refuses to acknowledge responsibility for hitting his wife. He states, "It's the man's job to keep his wife in line." How should a nurse culturally interpret his statement?

A) Latino culture is male dominated with clear male–female role definition. B) Religious tenets support the use of violence in the marital context. C) There is no equivalent for the words "personal responsibility" in the Spanish language. D) Family dynamics are kept private, lest shame befall the family.

Nursing