A client tells the advanced practice nurse that she has trouble ...

[folubunmi]

A client tells the advanced practice nurse that she has trouble falling asleep at night and might lie
  awake until 3 or 4 AM before falling sleep. The appropriate pharmacological treatment would be
 
  a. zolpidem (Ambien).
  b. methylphenidate (Ritalin).
  c. flurazepam (Dalmane).
  d. risperidone (Risperdal).

Question 2

A client newly admitted to the medical unit has needle tracks on both arms. A friend has stated that
  the client uses heroin. The nurse should assess the client for
 
  a. slurred speech, excessive drowsiness, and bradycardia.
  b. runny nose, yawning, insomnia, and chills.
  c. anxiety, agitation, and aggression.
  d. paranoid delusions, tactile hallucinations, and panic.

[bbburns21]

Answer to Question 1

A
Zolpidem is a short-acting hypnotic that will help the client initiate sleep and allow her to awaken
without untoward symptoms of drowsiness. Option B: This medication is a central nervous system
stimulant. Option C is a long-acting hypnotic that will produce hangover drowsiness during the day.
Option D: This medication is an antipsychotic and is not useful in promoting sleep.

Answer to Question 2

B
Early signs and symptoms of narcotic withdrawal resemble symptoms of onset of a flulike illness,
minus the temperature elevation. Option A reflects signs of intoxication or CNS depressant
overdose. Option C might be noted with CNS stimulant or hallucinogen use. Option D is consistent
with CNS stimulant (amphetamine, cocaine) use.