The client who has sleep apnoea reports falling asleep while driving, almost being involved in an accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?

Disturbed Sleep Pattern related to difficulty staying asleep

Disturbed Thought Processes related to chronic insomnia

Risk for injury related to somnambulism

Risk for Impaired Gas Exchange related to sleep apnea

Answer and Explanation

The Correct Answer is C

The priority nursing diagnosis for this client should be Risk for injury related to somnambulism. Somnambulism, also known as sleepwalking, can put the client at risk for injury as they may engage in activities while not fully conscious. The client's report of falling asleep while driving and almost being involved in an accident further highlights the potential risk for injury. It is important for the nurse to address this risk and develop a plan to ensure the client's safety.

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Correct Answer is A

Explanation

By oﬀering free occult blood screenings at a community health fair, the nurse is providing illness prevention services. Illness prevention refers to actions taken to prevent the onset of illness or disease. In this case, occult blood screening can help detect early signs of colorectal cancer, allowing for early intervention and treatment to prevent the development of the disease.

A. "This is nothing to worry about. It won't hurt you." B. "Let me tell you what I'll be doing. It should not be painful." C. "Some of the examination may be painful, but will be gentle." D. "I have to do this, so just relax and it won't last long."

Correct Answer is B

Explanation

The most appropriate statement by the nurse would be to explain the procedure to the client and reassure them that it should not be painful. This can help alleviate the client's anxiety and make them feel more comfortable and informed about the assessment.

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The client who has sleep apnoea reports falling asleep while driving, almost being involved in an accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is oﬀering free occult blood screenings at a community health fair. Which level of practice is the nurse providing?

Correct Answer is A

Explanation

A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

Correct Answer is B

Explanation

A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?

A client has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital. Which one of the following stages of illness is this client experiencing?

A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?

The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?

During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed and says "leave me alone." Which subjective data should the nurse document?

A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent?

The nurse is collecting equipment to administer a unit of packed red blood cells. Which IV ﬂuid should be used to initiate the IV for this transfusion?