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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Cleaning the inner cheeks and outer gum surfaces with a gauze pad is appropriate for an unconscious client.

When mouth care is provided, an unconscious patient is placed in the side-lying position because this prevents secretions from pooling at the back of the oral cavity, lowering the risk of aspiration1.

Choice A is incorrect because brushing an unconscious client’s teeth should not be avoided.

In fact, it is recommended that you brush your teeth at least once every four hours1.

Choice C is incorrect because unconscious clients need regular mouth care just like conscious clients2.

Choice D is incorrect because positioning the unconscious client upright is not the best method.

Instead, they should be placed in a side-lying position to prevent aspiration1.

A. Tap the feet forwards and backwards. B. Bend the arm by flexing the ulna to the humerus. C. Turn the head to the right and left. D. Extend the arm at the side and rotate in circles.

Correct Answer is B

Explanation

To exercise the hinge joints, the nurse should instruct the client to bend the arm by flexing the ulna to the humerus.

Hinge joints allow for movement in one direction, like a door hinge. The elbow joint is an example of a hinge joint.

Choice A is not the answer because tapping the feet forwards and backwards exercises the ankle joint, which is not a hinge joint.

Choice C is not the answer because turning the head to the right and left exercises the pivot joint in the neck, which is not a hinge joint.

Choice D is not the answer because extending the arm at the side and rotating in circles exercises the ball-and-socket joint in the shoulder, which is not a hinge joint.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning to provide mouth care to an unconscious client. Which statement is accurate for implementing mouth care to this client?

Correct Answer is B

Explanation

The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?

Correct Answer is B

Explanation

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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?