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. Lactated Ringer's solution B. Dextrose 10% in water C. Dextrose 5% in water D. 0.9% sodium chloride

Correct Answer is C

Explanation

A. While Lactated Ringer's is often used for fluid resuscitation, it doesn't contain the necessary nutrients to replace TPN. It can lead to electrolyte imbalances and other complications if used for extended periods.
B. While Dextrose 10% provides calories, it lacks essential amino acids, electrolytes, and other nutrients found in TPN. Prolonged use can lead to imbalances and nutritional deficiencies.
C. Dextrose 5% in water is a commonly used IV fluid that can be administered temporarily while waiting for the next TPN container. It provides hydration and some calories, but it's important to monitor the client's glucose levels closely.
D. While 0.9% sodium chloride (normal saline) is used for fluid replacement, it can lead to hypernatremia (excess sodium) if used for extended periods, especially in clients receiving TPN.

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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 caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client's next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?

Correct Answer is C

Explanation

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