A nurse has noted that a newly admitted patient has been taking ramelteon (Rozerem) for the past several weeks. The nurse is justified in suspecting that this patient was experiencing what problem prior to starting this drug?

A) Somnambulism (sleepwalking)
B) Difficulty falling asleep at night
C) Early morning waking
D) Frequent nighttime awakenings


B
Feedback:
Ramelteon (Rozerem), the newest oral nonbenzodiazepine hypnotic, has received FDA approval for the long-term treatment of insomnia characterized by difficulty with sleep onset.

Nursing

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A patient has just finished her glucose tolerance test. How long should it take for her blood glucose level to return to normal?

A) 2 hours B) 3 hours C) 5 hours D) 6 hours

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The nurse is caring for a client from another country who was admitted with chronic renal failure and is on hemodialysis. Which of the following statements indicates to the nurse the need for further teaching?

1. "I will report any increase in my weight of 5 pounds or more in a 2-day period.". 2. "I take my prescribed antihypertensive drugs daily.". 3. "I am careful to take precautions in the arm with the AV fistula.". 4. "I comply with salt restrictions in my diet by using salt substitutes.".

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Which of the following drug classes is associated with significant differences in metabolism based on gender?

1. Beta blockers 2. Antibiotics 3. Serotonin reuptake inhibitors 4. Angiotensin-converting-enzyme (ACE) inhibitors

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A nurse is making patient rounds and determines that one of her patients is having paradoxical symptoms related to the use of benzodiazepines. Which of the following symptoms would the patient manifest?

a. Insomnia, excitation, euphoria, and rage b. Laryngeal edema, hypotension, and wheals c. Vasodilation, flushing, and orthostatic hypotension d. Confusion, central nervous system depression, and disorientation

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