When providing patient teaching to an older adult patient and her daughter, the nurse cautions them about avoiding which over-the-counter medication often used by patients with sleep-wake disorders?
1. Zolpidem
2. Ramelteon
3. Trazodone
4. Diphenhydramine
Answer: 4
Explanation: Diphenhydramine is an antihistamine that is thought by many to be benign because it is available over-the-counter. However, it can be dangerous, especially in older adults, because it can be sedating for up to 18 hours and cause orthostatic hypotension. Zolpidem has a low adverse effect profile and is not available over-the-counter. Ramelteon should be used cautiously in patients with depression with suicidal ideations and is available by prescription only. Trazodone is commonly used in low doses for sleep but can also cause orthostatic hypotension. Trazodone is also available only by prescription. The nurse should carefully monitor any older adult taking medication for a sleep-wake disorder.
You might also like to view...
In your role as a school nurse, you are working with a female high school junior whose BMI is 31. When planning this girl's care, you should identify what goal?
A) Continuation of current diet and activity level B) Increase in exercise and reduction in calorie intake C) Possible referral to an eating disorder clinic D) Increase in daily calorie intake
One of the ways in which caregivers help their teen clients develop cognitive skills is to
1. teach them impulse control. 2. discuss how they feel about their problems. 3. get them into group therapy and socialization. 4. apply the problem-solving process to problems.
A patient is on postoperative day 2 after a nephrectomy. The nurse is aware that the most effective way to increase her peristalsis is
a. ambulation. b. an enema. c. encouraging hot liquids. d. administering a laxative.
Which of the following services are offered through community mental health agencies? (Select all that apply.)
A) Individual psychotherapy B) Group therapy C) Chemical health assessment, diagnosis, and treatment D) Medication management E) Vulnerable adult protection