A nurse is caring for a client who thinks they have narcolepsy. Which of the following questions should the nurse ask?
"How often do you have trouble sleeping?"
"Do you snore loudly?"
"Do you ever suddenly lose muscle control?"
"Do you wake up with headaches?"
The Correct Answer is C
A. "How often do you have trouble sleeping?": While this question might help assess general sleep issues, it doesn’t specifically address narcolepsy symptoms. Narcolepsy is characterized by excessive daytime sleepiness and episodes of sudden muscle weakness.
B. "Do you snore loudly?": Loud snoring is more commonly associated with sleep apnea rather than narcolepsy. Although both conditions can affect sleep quality, this question doesn’t directly relate to the hallmark symptoms of narcolepsy.
C. "Do you ever suddenly lose muscle control?": Sudden loss of muscle control, or cataplexy, is a key symptom of narcolepsy. Cataplexy occurs when a person experiences sudden muscle weakness or paralysis in response to strong emotions, such as laughter or surprise.
D. "Do you wake up with headaches?": Waking up with headaches could be related to sleep disorders such as sleep apnea or tension headaches, but it is not a defining feature of narcolepsy. The nurse should focus on symptoms directly related to narcolepsy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use a padded tongue blade to protect the client's tongue while seizing: A tongue blade should not be used during a seizure, as it can cause injury to the client. The client’s airway should be protected by positioning them correctly, not by inserting objects into their mouth.
B. Place the client in a supine position during the seizure: The client should not be placed in a supine position during a seizure due to the risk of aspiration. Instead, the client should be placed on their side to help maintain an open airway and prevent aspiration.
C. Monitor the client's respiratory and cardiac status: During a tonic-clonic seizure, respiratory and cardiac monitoring are crucial. Seizures can lead to decreased oxygenation, irregular heart rhythms, and other complications.
D. Offer the client a cup of juice to drink once the seizure is over: After a seizure, the client may have impaired swallowing reflexes, and offering liquids too soon can cause aspiration. The nurse should assess the client’s ability to swallow before offering fluids.
Correct Answer is B
Explanation
A. Warm skin: Warm skin typically indicates good circulation and is not a specific sign of active bleeding. Active bleeding is more likely to cause signs like cool or pale skin due to decreased perfusion.
B. Restlessness: Restlessness is a common sign of hypovolemia or decreased oxygen perfusion, both of which can be caused by active bleeding. It may indicate that the client is experiencing discomfort, anxiety, or shock due to blood loss.
C. Bounding pulses: Bounding pulses are typically associated with conditions like fever or increased blood volume, not bleeding. Active bleeding usually results in weak, thready pulses due to decreased blood volume.
D. Brisk capillary refill: A brisk capillary refill time (less than 2 seconds) is generally a sign of adequate circulation, not bleeding. In the case of active bleeding, capillary refill may be delayed due to reduced blood flow.
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