Author Question: A nurse plans care for an older adult with insomnia. The client's medication list includes zolpidem, ... (Read 41 times)

asmith134 · **on:** Jul 11, 2018

A nurse plans care for an older adult with insomnia. The client's medication list includes zolpidem, potassium, and omeprazole. Which of the following diagnoses should the nurse include in the plan of care?

A) Risk for falls
B) Risk for suicide
C) Risk for powerlessness
D) Risk for urge urinary incontinence

Question 2

An older adult with restless legs syndrome (RLS) has sought advice from the nurse in an effort to ease the problem. Which of the following statements should the nurse include in the plan?

A) There are new, over-the-counter medications that can probably resolve your RLS.
B) RLS can be a sign of a much more serious health problem, so I'd encourage you to visit your primary care provider.
C) I see that your iron level is low, let's add foods high in iron to your diet.
D) Even though it's certainly unpleasant, RLS is a normal part of the aging process.

juliaf · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: A
Fractures and falls are a risk of nonbenzodiazepine agents. Powerlessness, incontinence, and suicide are not increased with these medications.

Answer to Question 2

Ans: C
Risk factors for RLS include genetic predisposition, iron deficiency, chronic renal failure, peripheral neuropathy, and adverse effects of certain medications. RLS is considered a neuromuscular disorder, not an age-related change. It is more common with certain health problems, but it is not considered a sign of more serious pathology. Over-the-counter medications are not available for RLS.