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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. This refers to irregular bleeding between menstrual periods. While anorexia nervosa can lead to amenorrhea (the absence of menstruation) due to hormonal imbalances from severe weight loss and malnutrition, metrorrhagia is not a typical finding associated with anorexia nervosa.
B. This is a condition characterized by elevated levels of potassium in the blood. It is not a common finding in anorexia nervosa. Instead, clients with anorexia nervosa are more likely to have electrolyte imbalances such as hypokalemia (low potassium levels), especially if they engage in behaviors like vomiting or excessive use of laxatives.
C. This is a common finding in clients with anorexia nervosa. Constipation occurs due to inadequate intake of food and fluids, which results in decreased bowel motility. Malnutrition and dehydration from restricted intake can also contribute to this problem.
D. This refers to an abnormally fast heart rate. While tachycardia can occur in various conditions, in the context of anorexia nervosa, clients may actually exhibit bradycardia (slow heart rate) rather than tachycardia. The low body weight and malnutrition associated with anorexia can lead to a slowed heart rate as part of the body's response to starvation and decreased metabolic activity.

A. "Support your body weight on the underarm crutch pads." B. "Look down at your feet before moving the crutches." C. "Place one crutch forward with the opposite foot and then place the second crutch forward followed by the second foot." D. "Move both crutches forward while standing on the unaffected leg, then lift and swing your body past the crutches."

Correct Answer is D

Explanation

A. Crutches should not be used to support body weight under the arms, as this can cause nerve damage or discomfort. Instead, weight should be supported on the hands and arms, with the crutches positioned to support the client’s weight. Proper use involves placing the crutches slightly in front of the feet, with weight supported on the hands, not the underarms.
B. While it's important to be aware of your surroundings, looking down at your feet can be counterproductive as it may affect balance and coordination. The client should maintain an upright posture and look ahead to ensure proper gait and balance while moving. This helps in coordinating the movement of crutches and feet more effectively.
C. In a four-point gait, each crutch and foot move alternately, which is different from the three-point gait. The three-point gait involves moving both crutches and the affected leg forward simultaneously, followed by the unaffected leg.
D. In the three-point gait, the client moves both crutches forward at the same time while keeping the affected leg off the ground or in a non-weight-bearing position. Then, the client swings the unaffected leg forward to step past the crutches. This method ensures that weight is only placed on the unaffected leg while moving.

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Which of the following is an appropriate recommendation for client education regarding narcolepsy?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is D

Explanation

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