What does the nurse learn that predisposes the adolescent to feel an increased need for sleep?
Rapid physical growth
Decreased activity
Typical lack of ambition
An inadequate diet
The Correct Answer is A
During adolescence, there is a period of rapid physical growth and development. This growth spurt requires additional energy and resources from the body, which can lead to increased fatigue and a heightened need for sleep. The body utilizes sleep as a time for rest, repair, and growth, and during this growth phase, the demand for restorative sleep tends to increase.
decreased activity in (option B) is incorrect because it, does not necessarily contribute to an increased need for sleep. While decreased activity may result in less fatigue and the perception of needing less sleep, it is not a predisposing factor for feeling an increased need for sleep.
typical lack of ambition in (option C) is incorrect because it, is not associated with an increased need for sleep. Lack of ambition refers to a lack of motivation or drive, which is not directly related to the physiological need for sleep.
an inadequate diet in (option D) is incorrect because it, can affect overall health and well- being, but it is not specifically associated with an increased need for sleep. However, a well- balanced and nutritious diet can support healthy growth and development, including adequate sleep patterns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hypothyroidismreferstoanunderactivethyroid glandthatdoesnotproduceenoughthyroidhormones. In newborns, this condition is known as congenital hypothyroidism. Thesymptoms mentioned—mottled skin, a large fontanel (soft spot on the baby's head), a largetongue,lethargy, anddifficultyfeeding—arecharacteristic ofhypothyroidism inneonates.
Mottledskincanoccur duetodecreasedcirculationandlow bodytemperatureassociatedwith hypothyroidism. A large fontanel and tongue are common physical features seen ininfants with hypothyroidism. Lethargy and poor feeding are also typical signs of thiscondition.
Hypoglycaemia in (option A) is incorrect because it refers to low blood sugar levels andusuallypresentswithdifferent symptomssuchas jitteriness,tremors,and sweating.
Hypocalcaemia in (option C) is incorrect because it is low calcium levels and can manifestwithsymptoms like muscle cramps, twitching,and seizures.
Phenylketonuria (PKU) in (option D) it is incorrect because it is a metabolic disordercharacterized by the inability to metabolize the amino acid phenylalanine, and it typicallypresentswith differentsymptoms such asintellectual disabilityandamustydoorto theskin.
Therefore, based on the symptoms described, hypothyroidism (B) is the most likely disorderinthisneonate. Itisimportanttoconsultahealthcareprofessionalforaproperdiagnosisandappropriatetreatment.
Correct Answer is A
Explanation
When caring for a neonate with a suspected tracheoesophageal fistula (TEF), nursing care should include elevating the head but giving nothing by mouth. Tracheoesophageal fistula is a condition where an abnormal connection exists between the trachea and oesophagus, leading to the passage of air and secretions between these structures. Feeding the infant orally can result in aspiration of feedings into the lungs, which can cause respiratory distress and complications. Therefore, it is important to keep the neonate in an upright position to reduce the risk of aspiration until a definitive diagnosis and treatment plan are established.
elevating the head for feedings in (option B), is not appropriate in this case as oral feedings should be avoided until the tracheoesophageal fistula is addressed.
avoiding suction unless the infant is cyanotic in (option C), is not correct. Suctioning may be necessary in neonates with suspected tracheoesophageal fistula to clear secretions and maintain a patent airway.
feeding glucose water only in (option D), is not an appropriate intervention for a neonate with a suspected tracheoesophageal fistula. In this situation, all oral feedings should be withheld until further evaluation and management.
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