A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal.
The nurse explains that an older adult:.

will awaken more often during the night but may nap more often during the day.

should be given hypnotics to induce better sleep.

needs at least 10 hours of sleep a day to prevent fatigue.

requires less napping during the day to sleep better at night.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

True. As people age, it is common for them to experience more frequent awakenings during the night. This is often due to changes in sleep patterns, such as a decreased ability to maintain deep sleep, which can result in waking up more easily. Additionally, older adults may nap more during the day, which can affect their nighttime sleep patterns.

Choice B rationale:

False. Giving older adults hypnotics to induce better sleep is not a recommended approach as it may have adverse effects, including dependency and increased risk of falls. The focus should be on understanding and addressing the underlying causes of sleep disturbances in older adults.

Choice C rationale:

False. While it is important to assess and address sleep concerns in older adults, there is no fixed requirement of needing at least 10 hours of sleep a day to prevent fatigue. Sleep needs can vary, and older adults may require less sleep than younger individuals.

Choice D rationale:

False. Older adults may nap more during the day, but reducing daytime napping is not a guaranteed solution to improve nighttime sleep. Sleep patterns can change with age, and individual variations in sleep needs and habits should be considered.

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Correct Answer is D

Explanation

Choice A rationale:

Using heavy pressure on the cold pack for greater effectiveness is not the correct approach when applying a cold pack to an injured area. Applying excessive pressure can lead to tissue damage, frostbite, and can be uncomfortable for the patient. Cold packs should be applied with gentle, even pressure to avoid complications.

Choice B rationale:

Leaving the cold pack in place for over 30 minutes at a time is not recommended. Prolonged exposure to cold can also cause tissue damage, including frostbite. It is generally advised to limit cold pack applications to 20-30 minutes at a time to prevent complications.

Choice C rationale:

Preparing to apply heat instead if cold is not effective is not the appropriate action in this scenario. When a healthcare provider orders a cold pack application, it is essential to follow the prescribed treatment plan. Heat should only be considered if it is specifically ordered as an alternative treatment.

Choice D rationale:

Placing a towel between the pack and the skin is the correct approach to prevent patient injury when applying a cold pack. This helps to protect the skin from direct contact with the cold pack, reducing the risk of frostbite or cold-related injuries. It ensures a barrier between the cold pack and the patient's skin, providing a safe and comfortable application.

A. bring a newspaper or deck of cards according to patient choice. B. find a focal point in the room. C. obtain skin lotion and a towel to give a back rub. D. read from a script that helps the patient visualize a restful place.

Correct Answer is D

Explanation

Choice A rationale:

Bringing a newspaper or deck of cards does not directly relate to guided imagery, which is a technique used to help patients manage pain through visualization. It's important to provide interventions that align with the patient's expressed preference and pain management goals.

Choice B rationale:

Finding a focal point in the room is not directly related to guided imagery. While it may be helpful for relaxation in some cases, it's not a specific technique for guiding a patient through visualization to manage pain.

Choice C rationale:

Obtaining skin lotion and a towel for a back rub is not related to guided imagery, and it assumes the patient's preference without considering the patient's previously mentioned benefit from guided imagery.

Choice D rationale:

Reading from a script that helps the patient visualize a restful place aligns with the practice of guided imagery. This technique can be effective in helping patients manage pain by redirecting their focus and promoting relaxation. It's a suitable intervention based on the patient's past experience and preferences. .

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A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:.

Correct Answer is D

Explanation

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

Correct Answer is D

Explanation

A nurse is instructing a patient about relaxation techniques for pain management. The patient should:.

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A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

The nurse is aware that the new order for indomethacin (Indocin) involves the administration of a:.

A nurse evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:.

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A nurse is assisting with teaching a newly licensed nurse about pain.Which of the following is an example of nociceptive pain?

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

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal.
The nurse explains that an older adult:.