A client is taking verapamil for hypertension, Glucotrol for management of type II diabetes, and melatonin for sleep. Which question should the nurse ask about these medications?
1. "How is the melatonin helping you with sleep?"
2. "How long have you been taking the verapamil for blood pressure control?"
3. "What was the result of your last hemoglobin A1C level?"
4. "What was your blood pressure before you began taking the verapamil?"
Correct Answer: 1
Rationale 1: There is evidence that melatonin helps older adults fall sleep faster and helps insomnia related to disrupted circadian rhythm cycles.
Rationale 2: The length of time verapamil has been taken is not relevant.
Rationale 3: Even though it would be nice to know how well the diabetes has been controlled over the last 2–3 months, it is not necessary knowledge. Most illnesses cause an untoward increase in blood sugar levels, despite previously controlled levels.
Rationale 4: It would be important to know the control of blood pressure after taking the verapamil.
Global Rationale: There is evidence that melatonin helps older adults fall sleep faster and helps insomnia related to disrupted circadian rhythm cycles. The length of time verapamil has been taken is not relevant. Even though it would be nice to know how well the diabetes has been controlled over the last 2–3 months, it is not necessary knowledge. Most illnesses cause an untoward increase in blood sugar levels, despite previously controlled levels. It would be important to know the control of blood pressure after taking the verapamil.
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