In implementing the plan of care, which data should the practical nurse (PN) obtain first for a client with a sleep pattern disturbance?

The client's current and previous sleep habits and cycles.

The client's evening meal and snacking habits at bedtime.

Symptoms that occur as the result of sleep disturbance.

Sleep routines that the client has thought about practicing.

Answer and Explanation

The Correct Answer is A

A. Understanding the client’s current and previous sleep habits and cycles is the most foundational step for assessing sleep disturbances. This information provides a baseline from which the PN can identify patterns and deviations in the client’s sleep behavior.
B. While evening meal and snacking habits can affect sleep, they are secondary to understanding the client’s overall sleep habits and cycles. These habits are part of a broader assessment but not the initial focus.
C. Identifying symptoms resulting from sleep disturbances is important but follows after understanding the client’s sleep history. Symptoms are a result of disturbances, and their identification is based on a foundational understanding of sleep patterns.
D. Exploring new sleep routines the client is considering is part of the intervention phase but comes after understanding current sleep patterns and disturbances. The initial focus should be on gathering comprehensive sleep history.

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Correct Answer is A

Explanation

A. Increased oxygen saturation indicates that the Venturi face mask is effectively delivering the specified concentration of oxygen. This is the primary goal of using a Venturi mask, which provides precise oxygen delivery to improve oxygen saturation levels.
B. Increased cough productivity is not a direct indicator of the effectiveness of a Venturi face mask. The mask's purpose is to deliver oxygen, not to alter cough patterns.
C. Decreased cough frequency is unrelated to the function of the Venturi face mask. The mask's effectiveness is measured by oxygen delivery rather than changes in cough frequency.
D. Decreased breath sounds are not a direct measure of the effectiveness of a Venturi face mask. Breath sounds could indicate other respiratory issues but do not specifically reflect the effectiveness of oxygen therapy.

A. Oxygen concentration of the ambient air B. Temperature of water C. The weight of the child D. The amount of time the child was submerged E. Whether or not anyone witnessed the fall into the pool

Correct Answer is ["A","B","D","E"]

Explanation

A. Oxygen Concentration of the Ambient Air
The oxygen concentration of the ambient air affects how much oxygen the child could have been exposed to once retrieved from the pool. If the child was submerged in water, the ability to access oxygen from the environment was compromised, which contributes to the level of hypoxemia experienced. Ambient air oxygen concentration is a crucial factor in determining how long it might take for hypoxemia to develop or improve after submersion.
B. Temperature of Water
The temperature of the water affects the child’s physiology during submersion. Cold water can lead to a more rapid decrease in core body temperature and can influence the child’s respiratory and cardiovascular responses, potentially affecting the degree of hypoxemia.
C. The Weight of the Child
The weight of the child does not significantly impact the level of hypoxemia experienced during submersion. While it might influence the child’s ability to stay afloat or the rescue process, it does not directly affect hypoxemia levels.
D. The Amount of Time the Child Was Submerged
The duration of submersion is a critical factor in determining the level of hypoxemia. Longer submersion times result in more significant oxygen deprivation and a greater degree of hypoxemia, which can impact the severity of respiratory and cardiac complications.
E. Whether or Not Anyone Witnessed the Fall into the Pool
While witnessing the fall might be relevant for understanding the context of the incident, it does not directly affect the level of hypoxemia experienced during the submersion. The key factors are related to the conditions and duration of the submersion itself

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In implementing the plan of care, which data should the practical nurse (PN) obtain first for a client with a sleep pattern disturbance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding indicates to the practical nurse that a Venturi face mask is producing the desired effect?

Correct Answer is A

Explanation

Exhibits What factors are important in determining level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

A preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) of being really frightened and unsure about undergoing the surgery. Which priority action should the PN take?

The practical nurse (PN) is assisting with data collection for clients who have been admitted to the emergency department. What clients should the PN report to the nurse for further intervention for possible family violence? Select all that apply.

Exhibits Which intervention(s) should the practical nurse (PN) initiate if elder mistreatment is suspected? Select all that apply.

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

Which foot care instruction is most important for the practical nurse (PN) to reinforce that minimizes a long-term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)?

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?

The practical nurse (PN) is observing a newly hired unlicensed assistive personnel (UAP) bathing a client who has type 2 diabetes mellitus (DM). The UAP places the client's feet in a wash basin filled with warm soapy water to soak. Which action should the PN take?