The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:

I snore so loudly that I wake her up several times a night."

neither of us sleeps well after we have a big fight."

I sleep so soundly it's like waking the dead to get me up."

she's heard me tell jokes in my sleep."

Answer and Explanation

The Correct Answer is A

A. This statement suggests that the client may have sleep-disordered breathing, such as obstructive sleep apnea, which can disrupt the client's sleep patterns and affect their overall sleep quality. The nurse may want to inquire further about the frequency and severity of the snoring, as well as any associated symptoms such as daytime fatigue or observed pauses in breathing during sleep.
B. This statement indicates that emotional stressors, such as arguments or conflicts, may impact the client's sleep patterns. The nurse may want to explore how often these conflicts occur and how they affect the client's ability to fall asleep or stay asleep. Additionally, the nurse may inquire about coping strategies or interventions that the client and their partner use to address conflicts and minimize their impact on sleep.
C. This statement suggests that the client experiences deep or heavy sleep, which may or may not be problematic depending on the context. While deep sleep can be indicative of good sleep quality, it may also raise concerns about the client's ability to awaken in the event of an emergency or the presence of a sleep disorder such as hypersomnia. The nurse may want to inquire further about the client's overall sleep duration, sleep latency, and any difficulties with waking up in the morning.
D. This statement suggests that the client may experience sleep talking, which is a common sleep phenomenon. While sleep talking itself is typically benign, it may indicate underlying sleep disturbances such as sleep fragmentation or abnormal sleep cycles. The nurse may want to ask additional questions to assess the frequency and content of the sleep talking, as well as any potential impacts on the client's sleep quality or daytime functioning.

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

Explanation

A. The renal arteries are not typically located in the right upper quadrant. This area primarily contains the liver, gallbladder, and portions of the small intestine and large intestine. Therefore, RUQ is not associated with the location of the renal arteries.
D. LUQ (Left Upper Quadrant): The renal arteries are not typically located in the left upper quadrant. This area primarily contains the spleen, stomach, pancreas, and portions of the small intestine and large intestine. Therefore, LUQ is not associated with the location of the renal arteries.
B. Hypogastric: The hypogastric region, also known as the pubic region or lower abdominal region, is located below the umbilical region (lower middle abdomen). The renal arteries are not typically located in the hypogastric region. This area primarily contains structures such as the bladder, uterus (in females), and reproductive organs. Therefore, hypogastric is not associated with the location of the renal arteries.
C. LLQ (Left Lower Quadrant): The renal arteries are not typically located in the left lower quadrant. This area primarily contains the descending colon, sigmoid colon, and portions of the small intestine. Therefore, LLQ is not associated with the location of the renal arteries.
E. RLQ (Right Lower Quadrant): The renal arteries are not typically located in the right lower quadrant. This area primarily contains the appendix, cecum, ascending colon, and portions of the small intestine. Therefore, RLQ is not associated with the location of the renal arteries.

A. Warmth and palpable cord along the vein B. A raised ecchymotic painful area C. Swelling and tenderness at the site D. Blanching and coolness of surrounding skin

Correct Answer is A

Explanation

A. These are indicative of inflammation within the vein, which is characteristic of phlebitis. Warmth is a common sign of inflammation, and the palpable cord suggests that the vein may be hardened or cord- like due to inflammation and irritation.
B. While this could indicate some form of vascular injury or extravasation, it is not a typical presentation of phlebitis. Phlebitis involves inflammation of the vein, which may cause redness, warmth, and tenderness along the course of the vein, but it typically does not manifest as a raised ecchymotic (bruised) area.
C. Swelling occurs due to inflammation within the vein, and tenderness is often present as a result of the irritation and inflammation. These symptoms are commonly observed in cases of phlebitis but are not specific.
D. These are not typical signs of phlebitis. Blanching (turning white) and coolness of the skin may suggest reduced blood flow to the area, which could occur in cases of ischemia or thrombosis but are not characteristic of phlebitis.

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The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing abdominal vascular sounds (bruits) on a client. Which abbreviation(s) describe(s) the quadrants where the renal arteries are located? (SELECT ALL THAT APPLY)

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

Explanation

The nurse assessing a client's intravenous catheter site suspects a phlebitis based on which clinical findings?

Correct Answer is A

Explanation

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