A client is being assessed for complaints of difficulty getting to and staying asleep, chronic fatigue, and difficulty staying awake during daytime hours
A sleep study has been ordered. Which medication should the nurse teach the client to avoid prior to the sleep study?
1. Fosinopril (Monopril), 10 mg p.o. q.d., an ACE inhibitor
2. Calan SR, (verapamil) 120 mg p.o. q.d., a calcium channel blocker
3. Folic acid, 1 mg p.o.
4. Buspirone (BuSpar), 10 mg p.o. b.i.d., a nonbenzodiazepine anxiolytic
Correct Answer: 4
Rationale 1: Drowsiness is generally not a side effect of ACE inhibitors, so taking this medication should not have an effect on the results of the sleep study.
Rationale 2: Drowsiness is not a side effect of Calan SR. There are no indications that this medication would interfere with results of a sleep study.
Rationale 3: Folic acid would not have an effect on the results of the sleep study.
Rationale 4: Drowsiness is a common side effect of BuSpar. This could affect the results of a sleep study.
Global Rationale: Drowsiness is a common side effect of BuSpar. This could affect the results of a sleep study. Drowsiness is generally not a side effect of ACE inhibitors or Calan SR so taking these medications should not have an effect on the results of the sleep study. Folic acid would not have an effect on the results of the sleep study.
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