An older adult is having difficulty sleeping and asks a nurse, My ...

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An older adult is having difficulty sleeping and asks a nurse, My neighbor told me that I should take melatonin to help me sleep. What do you think about this? The nurse responds to the indi-vidual's question using the knowledge that:
 
  (Select all that apply.)
  a. in the natural state melatonin is produced by the pineal gland and regulates the sleep-wake cycle.
  b. melatonin is available in both immediate and extended release forms; however, on-ly the immediate form is effective.
  c. there are no significant adverse effects to melatonin.
  d. it must be used with caution in a patient that is taking other medications that have central nervous system depressant effects.
  e. evidence shows that it is effective at de-creasing sleep onset latency, improving quality of sleep, and improving morning wakefulness.

Question 2

The nurse is confident that the client who takes glucosamine sulfate daily is conscientious of the safety issues involved when hearing the client state: (Select all that apply.)
 
  a. I'm always careful to buy the same brand of glucosamine sulfate.
  b. If glucosamine sulfate wasn't safe the drug store wouldn't sell it.
  c. My pharmacist is so helpful when I have questions about the herbals I take.
  d. The liquid form of glucosamine sulfate is what I consistently take.
  e. I made sure my physician knew that I was allergic to strawberries.

[Leostella20]

Answer to Question 1

ANS: A, D, E
In the natural state, melatonin is endogenously produced by the pineal gland and is an important signal in regulating the sleep-wake cycle. Melatonin must be used with caution in patients who are taking other medications that cause drowsiness or have central nervous system depressant ef-fects. Studies have demonstrated that melatonin is effective at decreasing sleep onset latency, improving quality of sleep, and improving morning wakefulness. Melatonin is available in both an immediate and extended release form, and both forms are effective. There are adverse effects to melatonin, which include dizziness, nausea, and drowsiness.

Answer to Question 2

ANS: A, C, D, E
Regarding product safety, there is no standardization among manufacturers, so the amount of active ingredients per dose among brands is inconsistent; herbs and supplements should be pur-chased from reputable sources; herbs are available in different forms, making accurate dosing difficult; and persons who have allergies to certain plants may have allergies to herbs in the same plant family. There is insufficient research data to confidently make a statement about the safety of such herbal therapy.

[brutforce]

TYSM

[CAPTAINAMERICA]

Excellent