Question

Scenario 1 (students are invited to ask questions if they are unsure of what is being asked):

Nurse M. is caring for a 43 year old client Sara who is visiting her physician for treatment of insomnia. She has tried multiple over the counter (OTC) sleep medications. She states “ none of them work, even when I drink a glass of wine with them!” She states she tried temazepam (restoril) a couple of years ago and “that works like a dream” She is not happy when the physician orders zolpidem (ambien) instead of her ever dependent tamezepam (restoril)

1. Why do you think the physician refused her request for tamezepam (restoril)?

2. What are the consequences of long term sedative-hypnotic/barbituate drug use?

3. What patient teaching should be provided to her?

While waiting for her prescription client Sara asks Nurse M. about her nephew age 10. She states “my nephew just started taking methylphenidate (ritalin) for ADHD (Attention Deficit Hyperactivity Disorder . My sister wants to know what she may expect? “

4. What would you explain to her?

5. What patient teaching would you provide?

6. Name other medications that may be used for ADHD.

Answer 1

1.it has many complications if it takes contineously.this medication may leads to sleep deprivation which can leads to memory loss that can be the reason why he does not prescribe it..

2..1.memmory loss

2.depression.

3anxiety.

4.headche

5.insomnia

6.thought disorder.

3.1.teach her about the complications of taking sedatives contineously.

2.advise her to practise alternative methods such as yoga,meditation to improve sleep pattern.

3.advise her to avoid caffeine kcontent food at night.

4.advise her to do physical exercise half an hour before bed.

5.advise her to lusten to musci to reljieve stress which will improve sleeping.

6.advise her to good nutitious diet .

7.advise her to have a glass of milk before going to bed.

4.she should know about the side effects such as insomina,anorexia,loss of weight,agitation,nausea can be occur as a side effect of this medication.she should inform doctor of any of these noticed.

5.1.tell parents to keep sharp things away from child.

2.try to give food which he likes.

3.give medications as prescribed.

4.notice any side effecect of medication.

5.be patient with the child.

6.try to understand what he expect from parents.

7.do not provide toys which can harm.

6.1.dexmethylphenidate.

2.amiphetaline are the other drugs used for ADHD.