A client is diagnosed with narcolepsy. What is the nurse's priority intervention?
Encourage the client to stop drinking caffeine after 6 pm.
Inform the client to drink two cups of regular coffee.
Encourage the client to participate in normal activities.
Inform the client that driving would be dangerous.
The Correct Answer is D
Inform the client that driving would be dangerous.
Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep.
As a result, it can be dangerous for individuals with narcolepsy to engage in activities that require sustained attention and alertness, such as driving.
The nurse’s priority intervention would be to inform the client of this risk and advise them to avoid driving.
Choice A is not an answer because while avoiding caffeine after 6 pm may help improve sleep quality, it is not the priority intervention for a client with narcolepsy.
Choice B is not an answer because drinking two cups of regular coffee may worsen the symptoms of narcolepsy and is not a recommended intervention.
Choice C is not an answer because while participating in normal activities may be beneficial for overall health and well-being, it is not the priority intervention for a client with narcolepsy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Encouraging bed rest would be an inappropriate nursing intervention to promote mobility for a client with decreased mobility.
Bed rest can lead to further complications of immobility1.
Choice A is not an answer because teaching the client to do active range of motion (AROM) exercises every 2 hours can help maintain joint mobility and muscle strength2.
Choice B is not an answer because evaluating the client’s need for ambulatory aids can help them move safely and independently1.
Choice C is not an answer because keeping skin clean and dry is important for preventing skin breakdown, which can be a complication of immobility1.
Correct Answer is C
Explanation
The priority responsibility of the nurse is to call for a Cambodian interpreter.
This ensures that the mother’s needs and concerns are accurately communicated and understood.
It also helps to prevent any misunderstandings or miscommunications that could occur if the daughter were to interpret.
Choice A is not an appropriate response because calling the chaplain for support may not address the language barrier.
Choice B is not an appropriate response because allowing unlicensed assistive personnel to interpret could result in inaccurate or incomplete information being conveyed.
Choice D is not an appropriate response because continuing to work with the daughter for interpretation could result in misunderstandings or miscommunications.
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