A patient with a history of insomnia has been taking 15 mg of chlordiazepoxide (Librium) at bedtime for the past year. The patient reports having difficulty falling asleep and wakes up frequently during the night
The most appropriate nursing diagnosis to consider is: a. disturbed sleep pattern related to anxiety.
b. moderate anxiety related to disturbed sleep pattern.
c. insomnia related to tolerance to chlordiazepoxide (Librium).
d. thought disorder related to intolerance of chlordiazepoxide (Librium).
C
Chlordiazepoxide (Librium) is a benzodiazepine. Tolerance to benzodiazepines develops quickly and leaves the patient needing larger doses of the drug to obtain the desired effect. Because tolerance and dependence on benzodiazepines occur, their use should be short-term.
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