When providing patient teaching to an older adult patient and her daughter, the nurse cautions them about avoiding which over-the-counter medication often used by patients with sleep-wake disorders?

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Quizplus · Accepted Answer

4. Diphenhydramine is an antihistamine that is thought by many to be benign because it is available over-the-counter. However, it can be dangerous, especially in older adults, because it can be sedating for up to 18 hours and cause orthostatic hypotension. Zolpidem has a low adverse effect profile and is not available over-the-counter. Ramelteon should be used cautiously in patients with depression with suicidal ideations and is available by prescription only. Trazodone is commonly used in low doses for sleep but can also cause orthostatic hypotension. Trazodone is also available only by prescription. The nurse should carefully monitor any older adult taking medication for a sleep-wake disorder.

When Providing Patient Teaching to an Older Adult Patient and Her