A client recovering from surgery is prescribed zolpidem (Ambien) for sleep. The client is scheduled for physical therapy at 8 p.m. What should the nurse do when providing the client with this medication?
1. Crush the medication in a small amount of food.
2. Provide the medication with food.
3. Administer the medication prior to attending physical therapy because it takes 30–60 minutes to produce effects.
4. Administer the medication immediately prior to expected sleep.
Correct Answer: 4
Rationale 1: Ambien should be swallowed whole with plenty of water.
Rationale 2: The presence of food will reduce absorption of the drug, so it should be taken on an empty stomach.
Rationale 3: Ambien has a very rapid onset and should be taken immediately before bedtime.
Rationale 4: Ambien has a very rapid onset and should be taken immediately before bedtime.
Global Rationale: Ambien has a very rapid onset and should be taken immediately before bedtime. Ambien should be swallowed whole with plenty of water. The presence of food will reduce absorption of the drug, so it should be taken on an empty stomach.
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