The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.
To try to alleviate the problem, the nurse counsels her to try:.

sleep with the window open for fresh air.

perform some sort of exercise at bedtime.

having a couple of drinks at bedtime.

to wear soft earplugs for sleep.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Sleeping with the window open for fresh air may not be the best solution in this scenario. While fresh air can be beneficial for sleep, it might not effectively block out the noise from the freeway and the nearby apartment complex. Furthermore, depending on the climate and location, having the window open might lead to discomfort or temperature-related issues.

Choice B rationale:

Performing exercise at bedtime is not a recommended solution for someone experiencing difficulty sleeping due to external noise. Exercise before bedtime can increase alertness and make it even more challenging to fall asleep, especially if it's vigorous exercise. It may exacerbate the problem rather than alleviate it.

Choice C rationale:

Having a couple of drinks at bedtime is not a suitable solution for sleep problems. Alcohol can disrupt sleep patterns and lead to poor-quality sleep. It may help the patient fall asleep initially but can lead to frequent awakenings and a less restful night's sleep.

Choice D rationale:

The correct choice is to wear soft earplugs for sleep. Soft earplugs can effectively reduce or block out external noise, providing a quieter sleep environment. This is a practical and safe solution to address the noise issue in the patient's apartment complex. It promotes better sleep quality without any negative side effects.

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Correct Answer is C

Explanation

Choice A rationale:

An elevated blood pressure is not a reliable indicator of a decrease in pain following the administration of an opioid narcotic. Blood pressure can be influenced by various factors, and it may not directly correlate with the relief of pain.

Choice B rationale:

The client being asleep is not a direct indicator of decreased pain following opioid administration. While opioids may cause drowsiness as a side effect, the absence of pain cannot be confirmed solely based on the patient's sleep state.

Choice C rationale:

An increased respiratory rate can be a reliable indicator of decreased pain following the administration of an opioid narcotic. Opioids often cause respiratory depression, so an increased respiratory rate may suggest that the patient's pain is adequately managed, as they are not experiencing excessive respiratory depression.

Choice D rationale:

Diaphoresis (excessive sweating) is not a direct indicator of decreased pain following opioid administration. Diaphoresis can be caused by various factors, including anxiety, and may not specifically reflect pain relief. .

A. decreased level of consciousness from a stroke. B. neuritis secondary to diabetes. C. severely sprained ankle. D. impaired peripheral circulation.

Correct Answer is B

Explanation

Choice A rationale:

A patient with a decreased level of consciousness from a stroke may not be able to provide feedback or recognize discomfort or pain, which can increase the risk of burn injury when using a heating pad. This choice increases the risk rather than reducing it.

Choice B rationale:

A patient with neuritis secondary to diabetes has a decreased sensitivity in the affected area due to nerve damage. While this can be a challenging condition, it reduces the patient's ability to perceive heat and pain, making them less likely to realize if the heating pad becomes too hot. As a result, this patient has the least risk for burn injury when using the Aquathermia K pad.

Choice C rationale:

A severely sprained ankle is not related to the risk of burn injury from a heating pad. This choice is not relevant to the assessment of burn injury risk with the Aquathermia K pad.

Choice D rationale:

Impaired peripheral circulation can increase the risk of burn injury from a heating pad. Patients with compromised circulation have a reduced ability to dissipate heat, which can lead to localized overheating and potential burn injury. This choice increases the risk of injury. .

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The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client following administration of an opioid narcotic.Which of the following findings indicates a decrease in the client's pain?

Correct Answer is C

Explanation

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:.

Correct Answer is B

Explanation

The nurse outlines the four phases of nociceptive pain as: (Select all that apply.).

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

The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:

A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?

Going to bed hungry or overly full does not interfere with sleep. It helps the patient reach REM state of sleep faster.

Sleep influences memory, mood, cognitive function, secretion of various hormones, immune function, body temperature, and renal function.

One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:.

A nurse is preparing a patient for home care following cancer treatment. He is discussing the use of the fentanyl patch. Which of the following would be the most important instruction regarding safety?

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.
To try to alleviate the problem, the nurse counsels her to try:.