Exam #2 Question&answer

Zolpidem (Ambien) has been ordered for a client for the treatment of insomnia. What information will the nurse provide for this client? (Select all that apply.) 1. Be cautious when performing morning activities because it may cause a significant "hungover" effect with drowsiness and dizziness. 2. Take the drug with food; this enhances the absorption for quicker effects. 3. Take the drug immediately before going to bed; it has a quick onset of action. 4. If the insomnia is long-lasting, this drug may be safely used for up to a year. 5. Alcohol and other drugs that cause CNS depression should be avoided while taking this drug. {Ans: Answer 3 and 5. Rationale: Zolpidem (Ambien, Intermezzo) has a rapid onset, approximately 7 to 27 minutes, and should be taken immediately before going to bed. It should not be taken with alcohol or other drugs that cause CNS depression because of increased sedation and CNS depression. Option 1, 2, and 4 are incorrect.. Taking the drug with food will significantly impair its absorption and the onset of action may be delayed. Zolpidem has a duration of action of approximately 6 to 8 hours. Depending on when the drug is taken