A nurse is conducting an assessment on a client diagnosed with narcolepsy. The nurse should anticipate which of the following findings? Select all that apply.
Hallucinations at the onset of sleep
Sleep apnea
A lack of rapid eye movement (REM) sleep
The urge to move the legs when trying to sleep
Sudden attacks of sleep
Correct Answer : A,B,E
During an assessment of a client diagnosed with narcolepsy, the nurse should anticipate the following findings: Hallucinations at the onset of sleep, Sleep apnea, and Sudden attacks of sleep ². These are common symptoms of narcolepsy. The other options (A lack of rapid eye movement (REM) sleep and The urge to move the legs when trying to sleep) are not directly related to narcolepsy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more effective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as different clients may have different needs and respond differently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.
Correct Answer is C
Explanation
When communicating with a client who has difficulty hearing a conversation, it is important for the nurse to face the client during the conversation. This allows the client to see the nurse's mouth and facial expressions, which can help them better understand what is being said. Additionally, facing the client can help reduce background noise and improve the clarity of the nurse's speech.
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