A client complains of frequent awakenings during the night with an inability to return to sleep. The client does not have difficulty falling asleep initially. Which medication would the nurse anticipate preparing?
1. Eszopiclone (Lunesta)
2. Estazolam (ProSom)
3. Temazepam (Restoril)
4. Ramelteon (Rozerem)
Correct Answer: 1
Rationale 1: Lunesta has a long elimination half-life, which might give it an advantage in maintaining sleep and decreasing early morning awakening. Therefore, it might be the best option.
Rationale 2: ProSom is a benzodiazepine with intermediate duration in short-term management of insomnia. This client has difficulty staying asleep later in the night, and so needs a medication with long duration.
Rationale 3: Restoril has a rapid onset of action for short-term therapy of insomnia. It might not help the client who wakes up during the night.
Rationale 4: Rozerem was approved to treat insomnia in people who have difficulty falling asleep.
Global Rationale: Lunesta has a long elimination half-life, which might give it an advantage in maintaining sleep and decreasing early morning awakening. Therefore, it might be the best option. ProSom is a benzodiazepine with intermediate duration in short-term management of insomnia. This client has difficulty staying asleep later in the night, and so needs a medication with long duration. Restoril has a rapid onset of action for short-term therapy of insomnia. It might not help the client who wakes up during the night. Rozerem was approved to treat insomnia in people who have difficulty falling asleep.
You might also like to view...
Convert 2.5 feet per hour to an equivalent rate in inches per minute
1. 12.5 inches per minute 2. 0.5 inches per minute 3. 0.0035 inches per minute 4. 1800 inches per minute
A patient's atrial fibrillation has been refractory to treatment. The nurse would prioritize which discharge instructions?
1. Avoiding stressful situations 2. Anticoagulant therapy precautions 3. The importance of daily weights 4. How to check blood pressure at home
The nurse is caring for a patient with a history of hypercapnea. Which of the following should the nurse include when planning for this patient's nutritional needs?
1. monitor carbohydrate intake to reduce body carbon dioxide levels 2. limit protein 3. encourage fat intake 4. minimize vitamin supplements
For the client who is receiving parenteral nutrition via a central venous catheter, the nurse recog-nizes that a priority is to:
1. Use sterile technique during the administration of the feedings 2. Maintain the initial infusion rate at no more than 40 to 60 mL/hr 3. Complete the administration of the feeding within 12 hours 4. Have radiographic confirmation of the placement of the catheter