A client presents to the doctor's office with a report of fatigue and difficulty sleeping.
Which information should the nurse recognize as a potential contributing factor?
Reads a book entitled "How to Sleep Better".
Exercises in the morning and afternoon.
Consumes antibiotics twice a day.
Sleeps between 10 PM and 9 AM each night.
The Correct Answer is C
Antibiotics can have side effects that may contribute to fatigue and difficulty sleeping.
Choice A is not the correct answer because reading a book about how to sleep better is not a contributing factor to fatigue and difficulty sleeping.
Choice B is not the correct answer because exercising in the morning and afternoon can actually help improve sleep.
Choice D is not the correct answer because sleeping between 10 PM and 9 AM each night is a normal sleep schedule and should not contribute to fatigue and difficulty sleeping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
If a nurse observes that a client is using accessory muscles, it indicates an obstruction of the airways, which reduces oxygen saturation.
Accessory muscles help in the act of forced expiration to wash out carbon dioxide and improve oxygen saturation 1.
Therefore, the nurse should obtain the respiratory rate first.
Choice A is not the answer because determining pulse pressure will not provide any significant indication of respiratory distress 1.
Choice C is not the answer because temperature does not provide any significant data about the use of accessory muscles in respiration 1.
Choice D is not the answer because pulse rate does not provide any significant data about the use of accessory muscles in respiration 1.
Correct Answer is C
Explanation
The best response for the nurse to provide is “I can only give medical information to your son because he is an adult.” Since the client is 19 years old and considered an adult, the nurse must respect the client’s right to privacy and confidentiality.
Choice A is not the answer because it is rude and unprofessional.
Choice B is not the answer because it does not address the issue of privacy and confidentiality.
Choice D is not the answer because it does not address the issue of privacy and confidentiality.
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