Nursing 105

Essentials of Nursing Study Guide

5. The nurse is developing a plan of care for a 25-year-old client of the outpatient clinic who has just been diagnosed with narcolepsy. Which intervention should the nurse include in this plan of care? a. Encourage the client to take an over-the-counter medication to improve nighttime sleep. b. Be certain the client has his prescription for modafinil (Provigil)filled. c. Have the client purchase sodium oxybate (Xyrem) over the counter to prevent daytime drowsiness. d. Be certain the client obtains antihistamines to control nasalstuffiness. 6. The client is being treated with a nasal continuous positive airway pressure device (CPAP) for sleep apnea. What finding would the nurse evaluate as indicating that this treatment has been helpful to theclient? a. The client has lost 7 pounds since treatmentbegan. b. The client sleeps so soundly that hesnores. c. The client’s diabetes is now under control. d. The client reports a decrease in morning headache. 7. The nurse is admitting a critically ill client to the intensive care unit. What questions should the nurse ask regarding this client’s sleep history? a. No questions should be asked. b. When do you usually go to sleep? c. Do you have any problems with sleeping? d. What are your bedtime rituals? 8. The nurse is completing the admission assessment on a client who has obstructive sleep apnea. Which findings would be probable in this client? (Select all that apply.) a. Reddened uvula b. Large soft palate c. Obesity d. Short neck e. Deviated septum

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