The nurse notes that a client is prescribed zolpidem (Ambien) at a dose smaller than is recommended. What would the nurse review to determine the reason for the reduced dose?

Standard Text: Select all that apply.
1. Client's age
2. Blood-urea-nitrogen level
3. Creatinine level
4. Liver function studies
5. White blood cell count


Correct Answer: 1,2,3,4
Rationale 1: This medication should be used cautiously in older clients.
Rationale 2: The dose may be lower because of impaired kidney function, which can increase serum drug levels.
Rationale 3: The dose may be lower because of impaired kidney function, which can increase serum drug levels.
Rationale 4: The dose may be lower because of impaired liver function, which can increase serum drug levels.
Rationale 5: White blood cell count is not a precaution for this medication.
Global Rationale: This medication should be used cautiously in older clients. The dose may be lower because of impaired kidney function, which can increase serum drug levels. White blood cell count is not a precaution for this medication.

Nursing

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