During a sleep history evaluation, which statement by the client requires further follow-up?

I usually fall asleep after about 15 minutes.

I wake up to urinate once each night.

I often wake up feeling tired in the morning.

I have a regular nighttime routine.

Answer and Explanation

The Correct Answer is C

This statement requires further follow-up because it indicates that the client may have poor sleep quality or quantity, which can affect their health and well-being. According to, the main components of the sleep history include defining the specific sleep problem, assessing the disorder’s clinical course, differentiating between sleep disorders, evaluating the sleep-wakefulness patterns, questioning the bed partner, and obtaining a family history of sleep disorders.

Choice A is wrong because falling asleep after about 15 minutes is normal and indicates good sleep hygiene.

Choice B is wrong because waking up to urinate once each night is not uncommon in older adults and does not necessarily disrupt their sleep continuity.

Choice D is wrong because having a regular nighttime routine is beneficial for promoting relaxation and preparing for sleep.

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Correct Answer is B

Explanation

This is because anti-embolism stockings are designed to prevent swelling and blood clots in the legs by applying graduated compression, which is tighter around the ankle and looser as it moves up the leg. Applying the stockings in the morning before any swelling occurs ensures a proper fit and optimal blood flow.

Choice A is wrong because massaging the legs can dislodge a blood clot and cause a pulmonary embolism.

Choice C is wrong because wetting the stockings can make them harder to apply and reduce their effectiveness.

Choice D is wrong because removing the stockings before bathing can increase the risk of swelling and clotting, and applying fresh ones afterward can be difficult and uncomfortable.

A. Hypokalemia. B. Hypocalcemia. C. Hyponatremia. D. Hypochloremia.

Correct Answer is A

Explanation

This is because diarrhea can cause a loss of potassium along with water and other electrolytes. Potassium is an important mineral that helps regulate the heartbeat, nerve impulses and muscle contractions. Low levels of potassium can cause symptoms such as weakness, fatigue, muscle cramps, irregular heartbeat and constipation.

Choice B. Hypocalcemia is wrong because diarrhea does not usually cause a loss of

calcium. Calcium is another mineral that helps with muscle and nerve function, blood clotting and bone health. Low levels of calcium can cause symptoms such as numbness, tingling, muscle spasms, seizures and confusion.

Choice C. Hyponatremia is wrong because diarrhea can cause a loss of sodium, but not to the extent that it causes hyponatremia. Sodium is the most abundant electrolyte in the body and it helps regulate fluid balance, blood pressure and nerve and muscle function. Low levels of sodium can cause symptoms such as headache, confusion, nausea, vomiting, seizures and coma.

Choice D. Hypochloremia is wrong because diarrhea can cause a loss of chloride, but not to the extent that it causes hypochloremia. Chloride is another electrolyte that helps maintain fluid balance, blood pressure and acid-base balance. Low levels of chloride can cause symptoms such as weakness, dehydration, alkalosis (high blood pH) and muscle twitching.

The normal ranges for electrolytes in the blood are:

Potassium: 3.5 to 5 mEq/L
Calcium: 8.5 to 10.2 mg/dL
Sodium: 135 to 145 mEq/L
Chloride: 96 to 106

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During a sleep history evaluation, which statement by the client requires further follow-up?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client on venous thromboembolism (VTE) prevention about how to use anti-embolism (TED) stockings. Which instruction should be included?

Correct Answer is B

Explanation

Which electrolyte imbalance should a nurse expect to assess in a client who reports diarrhea for the past three days?

Correct Answer is A

Explanation

A client is to have a two-hour post-prandial blood glucose drawn. Which statement should the nurse make to inform the client when the two-hour test will be performed?

Which statement, if made by an older client diagnosed with urinary incontinence, indicates a need for further teaching?

Which client has the greatest need for special mouth care?

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