The client receives temazepam (Restoril) at bedtime for sleep. The client tells the nurse that he also has a glass of wine before bed to help him sleep. What is the nurse's best response?
1. "One glass of wine is okay, but be sure not to have more than that."
2. "Combining wine with your medication will decrease the effectiveness of your medication."
3. "This is okay as long as you have a high-fat meal with your wine."
4. "Combining wine with your medication can sedate you and cause breathing problems."
Correct Answer: 4
Rationale 1: "One glass of wine is okay, but be sure not to have more than that" is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 2: "Combining wine with your medication will decrease the effectiveness of your medication" is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 3: "This is okay as long as you have a high-fat meal with your wine" is incorrect because consuming a high-fat meal with alcohol will not change the potentiating effects of the alcohol. Alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 4: Alcohol is a CNS depressant, and combining it with benzodiazepines potentiates CNS depression, and can result in respiratory depression. Clients should not consume any alcohol with benzodiazepines.
Global Rationale: Alcohol is a CNS depressant, and combining it with benzodiazepines potentiates CNS depression, and can result in respiratory depression. Clients should not consume any alcohol with benzodiazepines. "One glass of wine is okay, but be sure not to have more than that" is incorrect because alcohol potentiates, not decreases, the effect of benzodiazepines. "Combining wine with your medication will decrease the effectiveness of your medication" is incorrect because alcohol potentiates, not decreases, the effect of benzodiazepines. "This is okay as long as you have a high-fat meal with your wine" is incorrect because consuming a high-fat meal with alcohol will not change the potentiating effects of the alcohol. Alcohol potentiates, not decreases, the effect of benzodiazepines.
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