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 A

Explanation

A. Sucralfate acts locally on the gastrointestinal mucosa by forming a protective barrier that adheres to ulcers and erosions. This barrier helps protect the tissue from stomach acid and promotes healing. As a result, the therapeutic effect of sucralfate often includes relief from gastrointestinal pain associated with ulcers and erosions.
B. Sucralfate does not directly treat Helicobacter pylori, a bacterium often associated with peptic ulcers. The treatment for H. pylori usually involves a combination of antibiotics and acid-reducing medications such as proton pump inhibitors (PPIs) or H2-receptor antagonists.
C. Sucralfate does not have a role in preventing opportunistic infections. It is specifically used to protect and heal the gastrointestinal lining, not to influence immune function or infection risk.
D. Sucralfate does not affect vision. It is used to treat gastrointestinal issues, not ocular conditions. Improvement of impaired vision is not related to the therapeutic effect of sucralfate.

A. Tempeh B. Sunflower margarine C. Sea vegetables D. Algae

Correct Answer is D

Explanation

A. Tempeh is a fermented soybean product, but it's not a reliable source of vitamin B12. While it can contain some vitamin B12, the amount can vary depending on the production process.
B. Sunflower margarine is a plant-based product and does not contain vitamin B12.
C. Sea vegetables can contain some vitamin B12, but the amount is often unreliable and can vary depending on the type of sea vegetable and where it was grown.
D. Algae is the most reliable plant-based source of vitamin B12. It's a common ingredient in many vegan vitamin B12 supplements and fortified foods.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who is pregnant and is vegan. The nurse should instruct the client that which of the following foods is a reliable source of Vitamin B12?

Correct Answer is D

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?

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