A 70-year-old woman has been waking up frequently at night due to ...

[strangeaffliction]

A 70-year-old woman has been waking up frequently at night due to contractions of her calf muscles. This client is experiencing what condition?
 
  A) Restful legs syndrome
  B) Periodic limb movement disorder
  C) Narcolepsy
  D) Parasomnia

Question 2

During an admission interview, a patient informs you that she has been taking an over-the-counter (OTC) sleeping pill. She asks you if the pill will interact with any medications.
 
  You tell the client that OTC sleep medications may have adverse effects when used with anticholinergic drugs and central nervous system depressants. You made this statement based on the knowledge that most OTC sleeping pills contain which of the following?
  A) Opioids
  B) Tricyclic antidepressants
  C) Benzodiazepines
  D) Antihistamines

[ndhahbi]

Answer to Question 1

Ans: B
Feedback:
Periodic limb movement disorder (PLMD) is a condition in which the legs move repetitively during the night, usually in approximately 90-second repetitive patterns. They result from contractions of the leg muscles during sleep. This condition causes frequent nighttime arousals, nonrestorative sleep, and excessive daytime sleepiness. Restless legs syndrome (RLS) is associated with disagreeable leg sensations, such as pain, cramping, and itching, which often interfere with the onset of sleep when they occur at bedtime.

Answer to Question 2

Ans: D
Feedback:
Most OTC medications for sleep contain the antihistamine diphenhydramine, which causes sedation, drowsiness, and tolerance, as well as the side effect of daytime sleepiness. Antihistamines may have adverse effects when used with anticholinergic drugs and central nervous system depressants.