What would be the primary focus of interventions for a client who sleepwalks?
Administer and teach about medications to suppress stage III sleep.
Encourage the child to verbalize feelings regarding sleep pattern.
Provide a quiet environment for nighttime sleep.
Maintain patient safety during episodes of somnambulism.
The Correct Answer is D
A) Administer and teach about medications to suppress stage III sleep:
Suppressing stage III sleep is not a primary intervention for sleepwalking and could potentially disrupt the client’s overall sleep quality.
B) Encourage the child to verbalize feelings regarding sleep pattern:
While understanding feelings about sleep patterns may be helpful, it is not the immediate priority in managing sleepwalking.
C) Provide a quiet environment for nighttime sleep:
A quiet environment is generally beneficial for good sleep hygiene but does not directly address the safety concerns associated with sleepwalking.
D) Maintain patient safety during episodes of somnambulism:
Ensuring the client’s safety is the primary focus. Sleepwalking can lead to accidents or injuries; therefore, implementing safety measures to prevent harm during episodes of somnambulism is crucial. This may include securing the environment, using safety gates, and ensuring the client’s immediate surroundings are safe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) "Would you like to talk about your concerns?": This response acknowledges the client's feelings and offers support and an opportunity to discuss their concerns further. It respects the client's autonomy and allows them to express their thoughts and feelings about the situation.
B) "Why don't you want to tell your partner your diagnosis?": This response may come across as confrontational and judgmental, potentially making the client feel defensive. It does not facilitate open communication or address the client's concerns in a supportive manner.
C) "If I were you, I would tell my partner.": This response imposes the nurse's values and beliefs on the client, which may not be helpful or appropriate. It undermines the client's autonomy and decision-making process.
D) "Most people find it helpful to talk to their partner.": While this statement may be true for some individuals, it assumes that the client's situation is the same as others and does not take into account the client's unique circumstances and preferences. It does not encourage open dialogue or address the client's concerns directly.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}
Explanation
The rationale for identifying the client as at risk for hypoxia is based on the respiratory assessment findings. Diminished lung sounds in the posterior lobes suggest reduced air movement or potential complications such as atelectasis or pneumonia, which can impair gas exchange. Additionally, the decreased oxygen saturation of 84% on room air indicates inadequate oxygenation of the blood. Hypoxia occurs when there is insufficient oxygen supply to tissues, which can lead to serious complications if not addressed promptly. Therefore, recognizing these respiratory assessment findings is crucial for identifying the risk of hypoxia in the client.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.