A client on ramelteon reports several side effects. Which side effect should be reported to the healthcare provider?

• A. Somnambulism
• B. Dizziness
• C. Headache
• D. Nausea

Answer: (A)

Ramelteon can cause sleep-related behaviors, and reporting those safety-threatening events is important. Somnambulism, or sleepwalking, is a parasomnia where a person engages in activities while not fully awake. Because these episodes can lead to injuries or dangerous situations, they warrant prompt communication with the healthcare provider to assess whether dose adjustment or discontinuation is needed and to ensure safety.

Dizziness, headache, and nausea are common, generally mild side effects that patients may tolerate unless they are severe or persistent, so they are less urgent to report immediately.