A nurse is caring for a client in the outpatient health clinic
For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.
Encourage a regular sleep-wake schedule.
Encourage naps during the day when client is tired.
Encourage client to sleep until later in the morning
Advise client to rise slowly from sitting position.
Advise client to notify provider if pregnant.
Encourage high-calorie finger foods.
Instruct client to avoid foods that have been fermented or aged.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"B"}}
A. Establishing a regular sleep-wake schedule can help regulate circadian rhythms and improve sleep quality, which is beneficial for managing insomnia. B. Napping during the day can disrupt the client's ability to sleep at night, exacerbating insomnia. It's generally recommended to avoid daytime naps for individuals experiencing difficulty sleeping. C. Sleeping in later in the morning can disrupt the client's sleep-wake cycle and contribute to difficulty falling asleep at night. Consistency in sleep-wake times is important for managing insomnia. D. Rising slowly from a sitting position can help prevent orthostatic hypotension, especially for clients taking trazodone, which can cause dizziness or lightheadedness upon standing. E. Trazodone is a medication that may have risks associated with use during pregnancy, so it's important for the client to inform their provider if they are pregnant or planning to become pregnant. F. Loss of appetite is a concern, but encouraging high-calorie finger foods may not address the underlying issue. It's important to address the root cause of the appetite loss and provide appropriate interventions, which may include dietary counseling and addressing stress. G. There is no indication in the scenario that fermented or aged foods would negatively affect the client's condition or interact with trazodone. It's important to focus on addressing the primary concerns of stress, difficulty sleeping, and loss of appetite.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Neonatal Infant Pain Scale (NIPS) is commonly used to assess pain in newborns, particularly in the neonatal intensive care unit (NICU) setting. It evaluates specific indicators of pain, such as facial expression, crying, and breathing patterns.
B. The FACES pain rating scale is more commonly used in older children who can understand and communicate using a visual scale of faces depicting different levels of pain intensity.
C. Visual analog scales are typically used in older children and adults to rate pain intensity on a linear scale.
D. The Premature Infant Pain Profile is specifically designed for premature infants and evaluates physiological and behavioral indicators of pain.
Correct Answer is B
Explanation
A. The palms of the hands are less reliable for detecting jaundice in dark-skinned individuals because the yellow tint may not be as visible against the darker pigmentation.
B. Jaundice is characterized by the yellowing of the skin and eyes due to high levels of bilirubin in the blood. In individuals with dark skin, this yellowing may not be as apparent on the skin itself, making the sclera a more accurate site for assessment.
C. The shoulders are less reliable for detecting jaundice in dark-skinned individuals because the yellow tint may not be as visible against the darker pigmentation.
D. The face is less reliable for detecting jaundice in dark-skinned individuals because the yellow tint may not be as visible against the darker pigmentation.
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