A sleeping patient has periodic pauses in breathing, then starts to breathe again.
The nurse recognizes this sleep pattern is consistent with:.

Excessive NREM sleep.

Insomnia.

Narcolepsy.

Sleep apnea.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Excessive NREM sleep does not cause periodic pauses in breathing. NREM (Non-Rapid Eye Movement) sleep consists of stages 1 through 4 and is characterized by a decrease in physiological activity, including a decrease in muscle tone. There is no direct association with breathing interruptions in NREM sleep.

Choice B rationale:

Insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep, but it does not involve periodic pauses in breathing. It is unrelated to the symptoms described in the question.

Choice C rationale:

Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden episodes of muscle weakness (cataplexy). It is not associated with periodic pauses in breathing, as described in the question.

Choice D rationale:

Sleep apnea is the correct answer. Sleep apnea is a sleep disorder characterized by repeated episodes of paused or shallow breathing during sleep. The patient may stop breathing for brief periods, then start breathing again. This pattern is consistent with the symptoms described in the question. Sleep apnea can have serious health implications and is important to recognize and address.

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Correct Answer is B

Explanation

Choice A rationale:

Decreased respirations and a rapid heart rate are not indicative of stage 3 of non-rapid eye movement (NREM) sleep. In stage 3, respirations are typically slow and regular, and the heart rate is slower than during wakefulness.

Choice B rationale:

Rapid respirations and a rapid heart rate are indicative of stage 3 of NREM sleep. During this stage, respiration and heart rate are more irregular compared to the earlier stages of sleep. This stage is characterized by increased physiological arousal compared to stages 1 and 2.

Choice C rationale:

Rapid respirations and a slow heart rate do not represent stage 3 of NREM sleep. In this stage, respiration tends to be rapid, and the heart rate, while slower than during wakefulness, is not slow.

Choice D rationale:

Decreased respirations and a slow heart rate are not consistent with stage 3 of NREM sleep. This stage is associated with more active and variable physiological processes, including rapid respirations and a relatively higher heart rate compared to later sleep stages.

A. Fairness. B. Responsibility. C. Confidence. D. Advocacy.

Correct Answer is B

Explanation

The correct answer is B. Responsibility.

Choice A rationale:

“Fairness.” Fairness involves treating all clients equally and without bias. While fairness is an important aspect of professionalism, it is not specifically demonstrated by evaluating the effectiveness of pain medication.

Choice B rationale:

“Responsibility.” Responsibility refers to the nurse’s duty to provide safe and effective care. By checking the client to evaluate the effectiveness of pain medication, the nurse is fulfilling their responsibility to monitor the client’s response to treatment and ensure their comfort and well-being.

Choice C rationale:

“Confidence.” Confidence involves the nurse’s self-assurance in their skills and knowledge. While confidence is important in nursing practice, it is not the primary component demonstrated in this scenario.

Choice D rationale:

“Advocacy.” Advocacy involves supporting and speaking up for the client’s needs and preferences. Although advocacy is a crucial part of nursing, the act of evaluating pain medication effectiveness is more directly related to the nurse’s responsibility to provide appropriate care.

By demonstrating responsibility, the nurse ensures that the client’s pain management is effective and that any necessary adjustments to the treatment plan are made.

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A sleeping patient has periodic pauses in breathing, then starts to breathe again.The nurse recognizes this sleep pattern is consistent with:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the status of a patient who is sleeping.Which assessment data indicate that the patient is most likely in stage 3 of non-rapid eye movement (NREM) sleep?

Correct Answer is B

Explanation

A nurse assists with checking a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

Correct Answer is B

Explanation

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A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management.Which of the following statements should the nurse make?

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The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.

The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:.

A patient experiencing pain states that guided imagery has made the pain more manageable in the past.To assist this patient, the nurse should:.

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.

A sleeping patient has periodic pauses in breathing, then starts to breathe again.
The nurse recognizes this sleep pattern is consistent with:.