NUR 306 Final Exam with answers

NUR 306 Final Exam with answers |\ |\ |\ |\ |\




A nurse is developing a plan for a patient who was diagnosed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


with narcolepsy. which interventions should the nurse include on
|\ |\ |\ |\ |\ |\ |\ |\ |\


the plan? - CORRECT ANSWERS ✔✔- take brief, 20 minute naps
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


no more than twice a day.
|\ |\ |\ |\ |\




- establish a regular exercise program
|\ |\ |\ |\ |\




- teach the patient about the side effects of modafinil.
|\ |\ |\ |\ |\ |\ |\ |\ |\




which statement made by a patient indicate an understanding of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


behaviors that will promote sleep? - CORRECT ANSWERS ✔✔-"i |\ |\ |\ |\ |\ |\ |\ |\ |\


will not watch tv in bed".
|\ |\ |\ |\ |\




- "I will not caffeine later in the day".
|\ |\ |\ |\ |\ |\ |\ |\




- " I will start to exercise regularly during the day."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




a 72 year old patient asks the nurse about using an over the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


counter antihistamine as a sleeping agent to help her get to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


sleep. what is the nurses best response? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔"Antihistamines should not be used because they can cause |\ |\ |\ |\ |\ |\ |\ |\ |\


confusion and increase your risk for falls". |\ |\ |\ |\ |\ |\




which nursing interventions best promotes effective sleep in an
|\ |\ |\ |\ |\ |\ |\ |\ |\


older adult? - CORRECT ANSWERS ✔✔- limit fluids 2-4 hours
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


before bed. |\




- ensure that the room temperature in comfortably cool.
|\ |\ |\ |\ |\ |\ |\ |\




- provide warm covers.
|\ |\ |\

,which statement made by the patient indicates an understanding
|\ |\ |\ |\ |\ |\ |\ |\


of sleep- hygiene practices? - CORRECT ANSWERS ✔✔" I usually
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


drink. cup of warm milk in the evening to help me sleep."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




which nursing interventions are appropriate to include in a plan
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


of care to promote sleep for patients who are hospitalized? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔- plan vital signs to be taken before the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


patient is a sleep |\ |\ |\




- have patient follow at home bed time schedule
|\ |\ |\ |\ |\ |\ |\ |\ |\




- close the door of the patients room at bedtime.
|\ |\ |\ |\ |\ |\ |\ |\ |\




the nurse is contacting the health care provider about a patients
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


sleep problem. place the steps in SBAR in the correct order. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔- "Dr. Smithson, this is Pam, the nurse |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


caring for Mrs. Dodd. im calling becasue Mrs. Dodd is having
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


difficult sleeping. |\ |\




- Mrs. Dodd, 46 year old was admitted 3 days ago following a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


motor vehicle accident. she is in balanced skeletal traction for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


femur fracture. she is having difficulty falling asleep.
|\ |\ |\ |\ |\ |\ |\ |\




- Mrs. Dodd is taking her pain medication every 4 hours as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ordered and rates her pain a 2 out of 10. last night she was still
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


awake at 1 am. she states that she is comfortable but that she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


just cant fall asleep. her vitals are Bp 124/76, P 78, R 12, and T
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


98.8. |\




- im calling to ask if you would order a hypnotic such as zolpidem
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


to use on a prn basis.
|\ |\ |\ |\ |\ |\




which statement made by a mother being discharged home with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


her newborn infant indicates that she understands the discharge
|\ |\ |\ |\ |\ |\ |\ |\ |\

, teaching related to best sleep practices. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔"well place the baby on her back to sleep". |\ |\ |\ |\ |\ |\ |\ |\




a nurse is taking a sleep history from a patient. which statement
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


made by the patient needs further follow up? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔" it takes me about 45-60 minutes to fall asleep. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




which sleep hygiene actions at bedtime can the nurse delegate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


to the AP? - CORRECT ANSWERS ✔✔_ giving a patient a back rub
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




- turning on quite music
|\ |\ |\ |\




- dimming the lights in the patients room.
|\ |\ |\ |\ |\ |\ |\




which of the following signs or symptoms in a patient who is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


opioid-naive is of greatest concern to the nurse when assessing |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


the patient one hour after administering an opiod? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔difficulty arousing the patient |\ |\ |\ |\




a health care provider writes the following order for a patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


who is opioid naive who returned from operating room following a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


total hip replacement: Fentanyl patch 100mcg, change every 3
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


days." on the basis of this order, the nurse takes which action? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔calls the health care provider and |\ |\ |\ |\ |\ |\ |\ |\


question the provider |\ |\




a patient is being discharged home on an around the clock opioid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


for postoperative pain. because of this order the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


anticipates an additional order for which class of medication? - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔Stool softners |\ |\ |\