A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because it's too noisy." Which of the following actions should the nurse take?

Tell the client that they will eventually get used to people talking at night.

Recommend that the client try to sleep during the day when it is quieter.

Keep conversations and activities to a minimum during the nighttime.

Turn on the client's television at night to cover up environmental noises.

Answer and Explanation

The Correct Answer is C

Choice A reason:
Telling the client that they will eventually get used to people talking at night is not a supportive or effective response. It dismisses the client's current discomfort and does not address the immediate issue of noise disrupting their sleep. Clients in inpatient treatment for eating disorders often have heightened sensitivity to their environment, and dismissing their concerns can increase stress and anxiety.

Choice B reason:
Recommending that the client try to sleep during the day when it is quieter is not practical. It disrupts the client's natural circadian rhythm and can lead to further sleep disturbances. Encouraging a regular sleep schedule at night is more beneficial for overall health and recovery.

Choice C reason:
Keeping conversations and activities to a minimum during the nighttime is the most appropriate action. This approach directly addresses the client's concern about noise and helps create a quieter, more restful environment. Reducing noise levels at night can significantly improve sleep quality for clients in inpatient settings.

Choice D reason:
Turning on the client's television at night to cover up environmental noises is not advisable. While it might mask some noise, it can also introduce new disturbances and prevent the client from achieving deep, restorative sleep. The light and sound from the television can interfere with the body's natural sleep processes.

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Correct Answer is C

Explanation

Choice A reason:
Long hallways can be challenging for clients with dementia due to potential confusion and disorientation. However, they do not pose a direct physical risk. Long distances might require more supervision and assistance, but they are not inherently dangerous.

Choice B reason:
Having the bed in a low position is generally a safety measure to prevent falls. For clients with dementia, this can be beneficial as it reduces the risk of injury if they attempt to get out of bed unassisted. Therefore, this is not considered a risk factor.

Choice C reason:
An area rug in the room can be a significant tripping hazard for clients with dementia. Dementia can affect a person's gait and balance, making them more prone to falls. Loose or uneven rugs can easily cause trips and falls, leading to potential injuries. This is why the presence of an area rug is identified as a risk.

Choice D reason:
Having locks on outside doors is a safety measure to prevent clients with dementia from wandering off and getting lost. Wandering is a common behavior in dementia patients, and locks can help ensure their safety by keeping them within a secure environment. This is not considered a risk but rather a protective measure.

A. Nausea and vomiting B. Confusion C. Tachycardia D. Hypothermia E. Amnesia F. Respiratory depression

Correct Answer is ["A","B","E","F"]

Explanation

Choice A:
GHB (gamma-hydroxybutyric acid) is known to cause nausea and vomiting, especially at higher doses. These symptoms are common side effects of GHB ingestion and can be distressing for the patient.
Choice B:
Confusion is a significant complication associated with GHB use. GHB acts as a central nervous system depressant, leading to altered mental status and confusion. This can impair the patient’s ability to communicate effectively and understand their surroundings.
Choice C:
Tachycardia, or an abnormally fast heart rate, is not typically associated with GHB use. GHB tends to cause bradycardia (slowed heart rate) rather than tachycardia. Therefore, this option is not a correct answer.
Choice D:
Hypothermia, or abnormally low body temperature, is not a common complication of GHB use. GHB does not typically affect body temperature regulation in a way that would lead to hypothermia. Thus, this option is not a correct answer.
Choice E:
Amnesia is a well-documented effect of GHB, often referred to as the “date rape drug” due to its ability to cause memory loss1. This can result in the patient having no recollection of events that occurred while under the influence of the drug.
Choice F:
Respiratory depression is a severe and potentially life-threatening complication of GHB use. GHB can depress the central nervous system to the point where breathing becomes slow and shallow, which can lead to respiratory failure5. This is a critical concern in managing patients who have ingested GHB.

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A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because it's too noisy." Which of the following actions should the nurse take?

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A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client?

Correct Answer is C

Explanation

The nurse is continuing to care for the patient in the emergency department. Exhibits Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.

Correct Answer is ["A","B","E","F"]

Explanation

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