The nurse understands that further teaching is needed when a client with narcolepsy states:
"I will not need to take medications to help with my problem."
"These attacks could last seconds to minutes."
"These attacks can come on suddenly even when I am alert and active."
"Sometimes when I get angry It can trigger the attacks."
The Correct Answer is A
A. Narcolepsy is a chronic neurological disorder characterized by excessive daytime sleepiness and other symptoms such as cataplexy (sudden loss of muscle tone), sleep paralysis, and hallucinations. While lifestyle modifications and behavioral strategies may help manage symptoms, medications are often necessary to control narcolepsy symptoms effectively. Therefore, if a client with narcolepsy states that they will not need medications, further teaching is indeed needed.
B. Narcoleptic attacks, or sleep attacks, can indeed last seconds to minutes. They are characterized by sudden and uncontrollable episodes of sleepiness or sleep onset, which can occur during daytime activities.
C. Narcoleptic attacks can occur suddenly, even when the individual is alert and engaged in activities. These attacks are unpredictable and can significantly disrupt daily life.
D. Emotional triggers, such as stress, excitement, or anger, can sometimes precipitate or exacerbate narcoleptic symptoms, including sleep attacks and cataplexy. However, not all individuals with narcolepsy experience triggers in the same way, and triggers can vary among individuals. Therefore, this statement may or may not be true for the individual in question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Directly asking the client how they learn best is a straightforward and effective approach for assessing their learning style preference. This allows the client to self-report their preferences, which can provide valuable insight into their preferred learning modalities, such as visual, auditory, or kinesthetic learning.
B. While assisting the client in learning skills from simple to complex can provide valuable information about their current level of understanding and skill mastery, it may not directly assess their learning style preference. This approach focuses more on the progression of learning rather than the client's preferred learning modalities.
C. Observing the client's interactions with others can provide some clues about their communication style and social preferences but may not necessarily directly assess their learning style preference. Learning style preference encompasses how individuals prefer to receive and process information, which may not be fully captured through social interactions alone.
D. Asking the client to read from a brochure primarily assesses their ability to process written information and may provide some insight into their literacy skills. However, it does not necessarily assess their preferred learning style, as individuals may have different preferences for how they prefer to receive and process information beyond reading.
Correct Answer is B
Explanation
B. One of the primary functions of an IV infusion pump is to precisely control the rate and volume of fluid delivery, thereby reducing the risk of accidental administration of large amounts of fluids. The pump allows for accurate programming of infusion rates and volume limits, enhancing safety and preventing fluid overload or other complications.
A. Using an IV infusion pump does not eliminate the need for assessing the IV site regularly. Regardless of the infusion method, it is essential to monitor the IV site frequently for signs of complications such as infiltration, phlebitis, or dislodgement. Therefore, this option is not the appropriate rationale for using an IV infusion pump.
C. IV infusion pumps are programmable devices that allow for precise control of the drip rate independent of the client's position. They ensure a consistent and controlled flow rate regardless of changes in the client's position, providing reliable delivery of fluids or medications.
D. While IV infusion pumps can deliver fluids at various rates, including rapid infusion rates when necessary, their primary purpose is not to administer fluids at a rapid rate. Rather, they are designed to deliver fluids or medications at controlled and programmed rates tailored to the client's needs, ensuring safety and accuracy.
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