An older client has been reading about the use of melatonin for sleep. Which statement best indicates to the nurse that the client understands instruction about taking this supplement?
1. "Melatonin is a hormone my body makes on its own without intervention."
2. "Nausea is the worst side effect associated with melatonin."
3. "Older adults have reduced levels of melatonin and need a supplement."
4. "A melatonin dose should be taken a few hours before bedtime."
4. "A melatonin dose should be taken a few hours before bedtime."
Explanation: 1. Melatonin is a natural hormone produced in the pineal gland. Melatonin is produced by the body, but occasionally in insufficient quantities. There are also sleep aids, like ramelteon, that increase the availability of melatonin in the body.
2. Nausea is a side effect of melatonin. Other side effects include dizziness and drowsiness. The older client who experiences dizziness is at risk for falls and might discontinue melatonin use.
3. Older people often do have reduced levels of melatonin. Many older adults do not take and do not need a melatonin supplement.
4. Melatonin needs 3-5 hours to work for inducing sleep.
You might also like to view...
A nurse is giving a presentation to the rest of the team regarding the elements of the Joint Commission's pain management standards. Which of the following does not necessarily belong among those elements?
a. Respect for patient values and beliefs b. Pain assessment for all patients c. Reassessment after an allotted time frame to monitor the effectiveness of painmanagement treatments d. Patient rights to pain management.
The database, which provides access to reputable clinical, health and biomedical publications, is?
a. MEDLINE b. Cumulative Index of Nursing and Allied Health Literature (CINAHL) c. ProQuest Health and Medical Complete d. Joanna Briggs Institute
A client says to the admitting nurse, "Why do you need to know the names of all the over-the-counter supplements I take? They aren't drugs." Which of the nurse's responses are appropriate?
1. "The admitting physician needs to know everything you are taking." 2. "You're right. I'm not sure why the admitting paperwork asks for this information. Would you mind listing them anyway?" 3. "The law requires us to keep a list of over-the-counter drugs and supplements that you are taking." 4. "It is true that supplements are not considered drugs; however, some of these products can cause adverse effects with prescribed drugs." 5. "We need to know if you are having an allergic reaction to one of them."
The nurse is caring for a neonate with a suspected tracheoesophageal fistula. Nursing care should include:
a. Elevating the head but giving nothing by mouth. b. Elevating the head for feedings. c. Feeding glucose water only. d. Avoiding suctioning unless the infant is cyanotic.