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 ["A","C","D"]
Explanation
The PED model is a framework for writing nursing diagnoses that stands for Problem, Etiology, and Defining Characteristics. A nursing diagnosis written using the PED model includes a statement of the client's problem (P), the cause or contributing factors of the problem (E), and the observable signs and symptoms that indicate the presence of the problem (D). In this case, options a), c), and d) are examples of nursing diagnoses that demonstrate appropriate use of the PED model. Each of these diagnoses includes a statement of the client's problem, the cause or contributing factors, and the defining characteristics that indicate the presence of the problem.
Correct Answer is D
Explanation
The client would most likely exhibit tachycardia, which is an abnormally fast heart rate. Fever and infection can both cause an increase in heart rate as the body tries to fight off the infection. Severe pain can also cause an increase in heart rate due to the body's stress response. Therefore, it is likely that the client would have a fast pulse rate, or tachycardia.
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