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A client's bed partner reports the client often has irregular snoring and silence followed by a snort. Does
this warrant further assessment?
No, snoring has varied patterns.
No, this is a description of normal snoring.
Yes, this is an indicator of obstructive apnea.
Yes, the bed partner is unable to sleep at night. - answer-Yes, this is an indicator of obstructive apnea.
A nurse is caring for a client with insomnia. The nurse is explaining the importance of sleep to the client.
Which role is sleep supposed to play? reduce fatigue eliminate fat accumulation reduce protein synthesis
decrease pain tolerance - answer-reduce fatigue
A client calls a sleep clinic "helpline" and describes her 46-year-old husband's sleep patterns: snoring
loudly, then becoming startled and waking up 5 or 6 times a night. The wife is asking how to improve his
sleep patterns. The nurse concludes: the husband may be exhibiting signs of sleep apnea. the wife needs
interventions to promote Stage II sleep for herself. the husband should only eat a small carbohydrate
snack before bed.
the wife should consider wearing ear plugs to bed. - answer-the husband may be exhibiting signs of sleep
apnea.
A factory worker has a work schedule involving rotating work hours between days, evenings, and nights.
The client tells the nurse he is a "morning" person, and is not sleeping well when he has to work nights.
The nurse recommends:
,obtaining a prescription for methylphenidate, a nervous system stimulant.
modifying the sleep environment to simulate quiet and darkness. applying
for a promotion to a day shift supervisor position.
increasing caffeine intake on days when he feels fatigued. - answer-modifying the sleep environment to
simulate quiet and darkness.
When the home care nurse visits a female client age 78 years who is recently widowed, the nurse finds
that the home is cluttered with trash. The client appears sad and disheveled. The nurse should assess the
client for symptoms of: fatigue presbyopia drug overdose depression - answerdepression
When a nurse notes that the client appears to be sleeping, is demonstrating irregular respirations, and is
showing eye movement, the nurse identifies the stage of sleep the client is experiencing as: Transitional
Rapid eye movement (REM)
Light sleep
Slow wave - answer-Rapid eye movement (REM)
A nurse is discussing sleep problems with a client. What type of food should the nurse recommend to
promote sleep?
One cup of hot chocolate
Three glasses of red wine
Cheese and crackers
One cup of peanuts - answer-Cheese and crackers
A nurse has decided to specialize in the care of the aging individuals in both illness and health. What is
the term for this nursing specialty?
Gerontologic nursing
Nephrology nursing
,Neurologic nursing
Genetic nursing - answer-Gerontologic nursing
A nurse is educating a group of middle adults about health promotion. What statement by one of the
participants indicates the need for additional education?
"I should eat a diet high in fats but low in fiber."
"I should eat a diet high in fats but low in fiber."
"I will begin a smoking cessation program this week."
"I only have one glass of wine a day with dinner." - answer-"I should eat a diet high in fats but low in
fiber."
Which situation would lead the client's family to suspect onset of dementia?
The client's air-conditioning is broken and he has not reported it.
The client has increasingly experienced disorientation to familiar surroundings.
The client has not attended church services in a month
The client has experienced confusion with two new medications - answer-The client has increasingly
experienced disorientation to familiar surroundings.
A teenager states, "Old people are different. They don't need the same things that young people do."
What is this statement an example of?
Racism
Ageism
Indifference
Knowledge - answer-Ageism
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A nurse is providing care to an older adult at home after major abdominal surgery. Which nursing
diagnosis would most likely be appropriate?