Nursing 105

Essentials of Nursing Study Guide

14. The client who has obstructive sleep apnea is being treated with a nasal continuous positive airway pressure (CPAP) device, but has just been prescribed modafinil (Provigil). What client statement should the nurse evaluate as indicating understanding of the discharge instructions regarding these two therapies? a. “I am so glad that I won’t have to sleep in this machineanymore.” b. “Once I get regulated on the Provigil, I will wean myself off theCPAP.” c. “I will continue using my CPAP machine at night.” d. “I can turn down the pressure on my CPAP machine in about 1week.” 15. The nurse is working on a hospital committee tasked with reducing environmental distractions to sleep within the hospital. Which recommendations by the committee would be helpful? (Select all that apply.) a. Turn off all overhead lights on the unit and use night-lights and flashlights. b. Establish a time at which radios and televisions should be turned off ordown. c. Discontinue the use of the paging system after2100. d. Conduct nursing reports in thehallway. e. Open curtains between beds in semiprivate rooms. 16. The patient has complained of stiffness and muscle tension in his back. The nurse suggests a back rub, but the patient declines the offer. What action should the nurse take? a. Encourage the client to accept the back rub, saying how much it will relax the back muscles. b. Document that the client is noncompliant with the nursing plan ofcare. c. Accept the declination but tell the client to call if he changes hismind. d. Instruct the UAP to rub the client’s back while assisting him to change into a clean gown. 17. A 5-year-old has recurrent night terrors. What nursing intervention would the nurse plan to help alleviate thisproblem? a. Have the child walk around in the room when night terrorsoccur. b. The next morning, ask the child to describe theevent. c. Have the child empty the bladder prior to going tobed d. Use an additional pillow behind the child’s head atnight

Answer Key found on page 156

©2018 Achieve Page 132 of 160