Question

the healthcare provider prescribes a medication for an older client who is complaining of insomnia and instructs the client to return in two weeks. the nurse should question which prescription?

a ramelteon 8 milligrams orally at bedtime.

b eszopiclone 10 milligrams orally at bedtime.

c temazepam 7.5 milligrams orally at bedtime.

d zolpidem 10 milligrams orally at bedtime.

Explanation:

For older adults, the recommended maximum dose of Eszopiclone is 2 - 3 mg at bedtime (depending on factors like renal function, etc.). A prescription of 10 mg is significantly higher than the recommended dose for older clients and poses risks like excessive sedation, falls, or respiratory depression. The other medications: Ramelteon 8 mg is within typical dosing, Temazepam 7.5 mg is a common dose for older adults for insomnia, and Zolpidem 10 mg is also a standard dose (though some guidelines may suggest lower, but 10 mg is less of a deviation compared to Eszopiclone 10 mg).

Answer:

B. Eszopiclone 10 milligrams orally at bedtime.