The nurse is caring for a client who reports daytime drowsiness. The client states, "My partner says my snoring is getting louder and it sometimes wakes me up." The nurse should further assess the client for which of the following?

Obstructive sleep apnea

Circadian rhythm disorder.

Narcolepsy

Insomnia

Answer and Explanation

The Correct Answer is A

A. Obstructive sleep apnea: Obstructive sleep apnea is characterized by loud snoring, daytime drowsiness, and periods of waking up due to blocked airways. The client’s symptoms are consistent with this condition and warrant further assessment for it.

B. Circadian rhythm disorder: Circadian rhythm disorders involve disruptions in the sleep-wake cycle, but they are less likely to present with loud snoring and daytime drowsiness as primary symptoms.

C. Narcolepsy: Narcolepsy is characterized by excessive daytime sleepiness and sudden sleep attacks but does not typically include loud snoring or waking up from snoring.

D. Insomnia: Insomnia involves difficulty falling or staying asleep and would not typically cause daytime drowsiness from loud snoring or the described waking up issues.

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Correct Answer is D

Explanation

A. "You have plenty of time to figure all of that out." This response is not proactive and may not address the urgency of planning for future decisions. It is important to address these issues sooner rather than later.

B. "Decisions will then be made for your spouse by the health care provider." Healthcare providers will make decisions based on medical criteria and the patient's current condition, but they will typically follow the wishes expressed in advance directives or legal documents.

C. "Decisions should be made now for your spouse's future." This is a proactive approach, but it's important to involve the spouse in the decision-making process.

D. "I can explain advance care planning to you." This is the most appropriate response. Advance care planning involves discussing the client's wishes regarding their future care, including decisions about life-sustaining treatments. By explaining this process, the nurse can help the spouse prepare for a time when the client may be unable to make their own decisions.

A. "Have you been trying to lose weight?" B. "You must take care of yourself or you will not be able to care for your partner." C. "What are some things you are doing to take care of yourself?" D. "It is often easy to lose weight when we become busy and distracted."

Correct Answer is C

Explanation

A. "Have you been trying to lose weight?" This response does not address the caregiver’s concern about losing weight due to lack of time and may seem to dismiss their situation.

B. "You must take care of yourself or you will not be able to care for your partner." While this statement is true, it may be perceived as accusatory and could lead to feelings of guilt or resentment.

C. "What are some things you are doing to take care of yourself?" This is a good response as it encourages the caregiver to think about their self-care practices and opens a dialogue about their well-being.

D. "It is often easy to lose weight when we become busy and distracted." This response might minimize the caregiver’s concern and does not provide practical support or solutions.

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The nurse is caring for a client who reports daytime drowsiness. The client states, "My partner says my snoring is getting louder and it sometimes wakes me up." The nurse should further assess the client for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurses talking with the spouse of an older adult client who has been diagnosed with dementia. The spouse states, "What will I do when my spouse cannot make decisions anymore?" Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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