PEDRIATICS HESI 2020 EXAM QUESTIONS AND ANSWERS FULL

PEDRIATICS HESI 2020 EXAM QUESTIONS AND ANSWERS FULL patient has sleep deprivation. Which statement by the patient will indicate to the nurse that outcomes are being met? • “I wake up only once a night to go to the bathroom.” • “I feel rested when I wake up in the morning.” • “I go to sleep within 30 minutes of lying down.” • “I only take a 20-minute nap during the day.” ANS: B Being able to sleep and feeling rested would indicate that outcomes are being met for sleep deprivation. Limiting a nap to 20 minutes is an intervention to promote sleep. Going to sleep within 30 minutes indicates a goal for insomnia. Waking up only once may indicate nocturia is improving but does not relate to sleep deprivation. • An older-adult patient is visiting the clinic after a fall during the night. The nurse obtains information on what medications the patient takes. Which medication most likely contributed to the patient’s fall? • Melatonin • L-tryptophan • Benzodiazepine • Iron supplement ANS: C The most likely cause is a benzodiazepine. If older patients who were recently continent, ambulatory, and alert become incontinent or confused and/or demonstrate impaired mobility, the use of benzodiazepines needs to be considered as a possible cause. This can contribute to a fall in an older adult. Short-term use of melatonin has been found to be safe, with mild side effects of nausea, headache, and dizziness being infrequent. Iron supplements may be given to patients with restless legs syndrome. Some as L-tryptophan, a natural protein found in foods such as milk, cheese, and meats, promote sleep; while it does promote sleep, it is not the most likely to cause mobility problems. MULTIPLERESPONSE • The nurse is caring for a patient who has not been able to sleep well while in the hospital, leading to a disrupted sleep-wake cycle. Which assessment findings will the nurse monitor for in this patient? (Select all that apply.) • Changes in physiological function such astemperature • Decreased appetite and weight loss • Anxiety, irritability, andrestlessness • Shortness of breath and chest pain • Nausea, vomiting, and diarrhea • Impaired judgment ANS:A, B, C, F The biological rhythm of sleep frequently becomes synchronized with other body functions. Changes in body temperature correlate with sleep pattern. When the sleep-wake cycle becomes disrupted, changes in physiological function such as temperature can occur. Patients can experience decreased appetite, loss of weight, anxiety, restlessness, irritability, and impaired judgment. Gastrointestinal and respiratory/ cardiovascular symptoms such as shortness of breath and chest pain are not symptoms of a disrupted sleep cycle.