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 D

Explanation

The needle gauge size for subcutaneous injections should be between 25 and 31, depending on the patient’s size and the viscosity of the medication.

A smaller gauge number means a larger diameter needle, which can cause more pain and tissue damage.

Choice A is wrong because 8 is too large for subcutaneous injections and can cause bleeding and bruising.

Choice B is wrong because 20 is also too large for subcutaneous injections and can cause similar complications as choice A.

Choice C is wrong because 21 is still too large for subcutaneous injections and can cause discomfort and injury to the patient.

The needle length for subcutaneous injections should be between ½ inch and ⅝ inch, depending on the amount of subcutaneous tissue present. The nurse should pinch the skin and insert the needle at a 45-degree angle to ensure proper delivery of the medication.

A. 5 mL. B. 15 mL. C. 25 mL. D. 30 mL.

Correct Answer is D

Explanation

30 mL. This is because one ounce is equal to 29.57353 milliliters, so one ounce of an elixir medication is approximately 30 milliliters.

The nurse should instruct the client to take 30 milliliters of the medication during discharge teaching.

Choice A is wrong because 5 milliliters is much less than one ounce. Choice B is wrong because 15 milliliters is half of one ounce.

Choice C is wrong because 25 milliliters is slightly less than one ounce.

The nurse should use a conversion factor or a calculator to convert ounces to milliliters accurately.

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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

Which needle gauge should a nurse select when administering a medication subcutaneously?

Correct Answer is D

Explanation

A health care provider prescribes one ounce of an elixir medication for a client. How many milliliters (mL) of medication should the nurse instruct the client to take during discharge teaching?

Correct Answer is D

Explanation

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