Which of the following is an appropriate recommendation for client education regarding narcolepsy?
Consume large meals high in carbohydrates to provide energy throughout the day.
Exercise regularly to maintain overall health and manage symptoms.
Engage in activities that increase sleepiness, such as sitting for long periods or being in warm environments, to promote relaxation.
Avoid taking naps during the day to establish a regular sleep-wake schedule.
The Correct Answer is B
A. Consuming large meals high in carbohydrates is not recommended for managing narcolepsy. Large meals, especially those high in carbohydrates, can lead to drowsiness and exacerbate daytime sleepiness, which is already a significant concern in narcolepsy. Instead, smaller, balanced meals are typically advised to avoid large fluctuations in blood sugar levels and excessive sleepiness.
B. Exercise regularly is an appropriate recommendation. Regular physical activity can help improve overall health, mood, and sleep patterns. For individuals with narcolepsy, exercise can also help manage excessive daytime sleepiness and improve alertness. However, it is important to avoid exercising too close to bedtime, as it can interfere with nighttime sleep.
C. Engaging in activities that increase sleepiness is not recommended. Sitting for long periods or being in warm environments can exacerbate daytime sleepiness and make it harder to stay awake. People with narcolepsy should avoid these situations and instead focus on strategies that help them stay alert and manage their sleepiness effectively.
D. Avoiding naps is generally not advised for individuals with narcolepsy. Controlled, planned naps can help manage excessive daytime sleepiness and improve overall function. Instead of avoiding naps, the focus should be on managing nap times effectively to help mitigate the symptoms of narcolepsy and maintain a regular sleep-wake schedule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urinary urgency refers to a sudden, compelling need to urinate, which may or may not be accompanied by frequency (i.e., the need to urinate often). Urgency alone does not necessarily indicate urinary incontinence but rather may suggest conditions like overactive bladder or urge incontinence. This finding is not the most characteristic sign of urinary incontinence but rather a symptom of specific types of incontinence or bladder conditions.
B. Loss of urine when laughing, coughing, or sneezing is indicative of stress urinary incontinence. This type of incontinence occurs when physical activities that increase abdominal pressure (such as coughing, sneezing, or laughing) lead to involuntary leakage of urine. It is a common and classic symptom of stress urinary incontinence.
C. Urinary hesitancy refers to difficulty starting the urine stream or a delay in beginning urination. This symptom is more commonly associated with obstructive urinary conditions or prostatic issues in males rather than incontinence. It does not typically characterize urinary incontinence, which is more related to involuntary leakage rather than difficulties initiating urination.
D. Hematuria is the presence of blood in the urine and can be a sign of various urological issues such as infections, stones, or tumors. It is not a typical finding associated with urinary incontinence, which involves involuntary leakage rather than the presence of blood.
Correct Answer is B
Explanation
A. While iron is crucial for overall health, its primary role in infants is not specifically related to vision development. Iron is essential for many bodily functions, including oxygen transport and brain development, but the statement about vision development is not directly relevant to the primary reasons for iron supplementation in infants.
B. This is a key point to include in the teaching. Iron stores that infants are born with start to deplete around 4-6 months of age. This is why iron-fortified formula or iron-rich complementary foods are recommended to prevent iron deficiency anemia, as breast milk alone may not provide sufficient iron after this period.
C. Iron is important for overall growth and development, including the development of red blood cells and cognitive functions. However, the specific facilitation of bone growth is more directly related to other nutrients like calcium and vitamin D.
D. Iron absorption can be a concern, but this statement is not entirely accurate. Iron in formula is typically well-absorbed, especially in iron-fortified formulas designed for infants. The goal of providing iron-fortified formula is to ensure that the infant receives an adequate amount of iron, which is absorbed effectively to support their growing needs.
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