A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep.

Caffeine use

Evening meal

Use of electronic devices

Exercise schedule

Bedtime Medications

Answer and Explanation

Correct Answer : A,C

A.   Caffeine is a stimulant and can interfere with sleep, especially if consumed in the afternoon or evening. It can lead to difficulty falling asleep and disrupt the sleep cycle.
B.   While heavy meals close to bedtime can cause discomfort or indigestion, a light evening meal generally does not significantly interfere with sleep for most individuals.
C.   The use of electronic devices, particularly before bedtime, can interfere with sleep due to the blue light emitted by screens. This light can suppress the production of melatonin, a hormone that helps regulate sleep.
D.   Regular exercise generally promotes better sleep. However, vigorous exercise close to bedtime may interfere with sleep due to the increase in adrenaline, but this is not always the case.
E.   The medications taken by the individual do not interfere with sleep.

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Correct Answer is A

Explanation

A. Increased pain: Naloxone is an opioid antagonist and will reverse the analgesic effects of the opioid, likely leading to increased pain in the client.

B. Hyperglycemia: Incorrect. Naloxone does not typically cause changes in glucose metabolism.

C. Hypoventilation: Incorrect. Naloxone reverses respiratory depression, so hypoventilation is not expected after its administration.

D. Somnolence: Incorrect. Naloxone should reverse somnolence caused by opioids, leading to more alertness.

A. A client who requests to sit in the bedside chair while watching TV. B. A client who consumes all the food from their meal tray. C. A client who requests assistance to use the bedside commode. D. A client who has a prescription for compression stockings and did not receive them.

Correct Answer is D

Explanation

A. Requesting to sit in a chair is a normal activity and doesn't indicate a concern.

B. Consuming food from the meal tray is a normal activity and does not require reporting.

C. Requesting assistance to use the bedside commode is a normal activity and does not require reporting unless there is a change in condition.

D. Failing to receive prescribed compression stockings is an important issue because it can increase the risk of deep vein thrombosis (DVT), and it needs to be reported.

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A nurse is caring for a client in an outpatient clinic. Exhibits Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has respiratory depression from an opioid administration. After administering naloxone to the client, which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse?

Correct Answer is D

Explanation

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A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep.