Which patient statement indicates a need for further teaching ...

[yoooooman]

Which patient statement indicates a need for further teaching about extended-release zolpidem (Ambien CR)?
 
  a. I will take the medication an hour before bedtime.
  b. I should take the medication on an empty stomach.
  c. I should not take this medication unless I can sleep for at least 6 hours.
  d. I will schedule activities that require mental alertness for later in the day.

Question 2

The nurse cares for a critically ill patient in the intensive care unit (ICU). Which intervention should the nurse include in the plan of care to improve this patient's sleep quality?
 
  a. Ask all visitors to leave the ICU for the night.
  b. Lower the level of lights from 8:00 PM until 7:00 AM.
  c. Avoid the use of opioids for pain relief during the evening hours.
  d. Schedule assessments to allow at least 4 hours of uninterrupted sleep.

[anoriega3]

Answer to Question 1

ANS: A
Benzodiazepine receptor agonists such as zolpidem work quickly and should be taken immediately before bedtime. The other patient statements are correct.

Answer to Question 2

ANS: B
Lowering the level of light will help mimic normal day/night patterns and maximize the opportunity for sleep. Although frequent assessments and opioid use can disturb sleep patterns, these actions are necessary for the care of critically ill patients. For some patients, having a family member or friend at the bedside may decrease anxiety and improve sleep.

[yoooooman]

TYSM

Excellent