Sleep
A patient is diagnosed with narcolepsy. Which of the following is a characteristic of this disorder?
A) waking during sleep
B) restless leg syndrome
C) uncontrollable desire to sleep
D) decrease in the amount or quality of sleep
What is uncontrollable desire to sleep?
The most appropriate route for administering daily analgesics to a client whose body systems are all functional.
What is oral?
Place the tablet under the tongue and let it absorb
What is Sublingual?
What is the rationale for using CPAP to treat sleep apnea?
A)positive air pressure holds the airway open
B)negative air pressure holds the airway open
C)delivery of oxygen facilitates respiratory effort
D) alternating waves of air stimulate breathing
What is positive air pressure holds the airway open?
The nurse is careing for a patient recovering from a complex surgical procedure. They are in severe pain, and immediate analgesia is required. The nurse is aware that rapid titration of the medication is also necessary to control her pain effectively. Which route of administration would best meet these needs.
A. Administer the analgesic sublingually for quick absorption.
B. Use intravenous (IV) administration for immediate onset and easy titration.
C. Set up a Patient-Controlled Analgesia (PCA) pump for self-administered relief.
D. Utilize intraspinal administration to deliver medication near the spinal cord.
B. Use intravenous (IV) administration for immediate onset and easy titration.
An important nursing action administering topical medications.
What is wearing gloves?
The nurse is preparing to assess a client diagnosed with insomnia. Before beginning the evaluation, they consider the various factors that could contribute to the development of this sleep disorder. Which of the following are potential causes the nurse should keep in mind?
A. Excessive caffeine consumption.
B. A diet high in protein.
C. Lack of sunlight exposure.
D. Regular physical exercise.
Excessive caffeine consumption
The nurse is reviewing the medication charts of various patients in her unit. She recognizes that different conditions may require different pain management strategies. Which among her current roster of patients is most likely to be on opioid medication for an extended period?
A. A patient experiencing phantom limb pain after an amputation.
B. A patient diagnosed with advanced pancreatic cancer that is progressing.
C. A patient suffering from episodes of trigeminal neuralgia.
D. A patient dealing with chronic fibromyalgia
A patient diagnosed with advanced pancreatic cancer that is progressing.
Before administering any medication, what is the nurse’s priority action regarding patient safety?
a. Verifying orders with another nurse
b. Documenting the medications given
c. Counting medications in the medication cart drawers
d. Checking the patient’s identification
What is Checking the patient’s identification?
The nurse is discussing sleep hygiene with her patient who reports difficulty falling asleep and feeling alert once she lies down. The nurse outlines several interventions that may help improve the patient's ability to sleep. Which of the following strategies should the nurse suggest? (SATA)
A. Stay in bed and read before turning off the lights. B. Have a large snack before going to bed.
C. Exercise during the afternoon, not in the evening. D. Get out of bed if you can't fall asleep.
E. Drink a warm cup of milk tea before bed.
Exercise during the afternoon, not in the evening
Get out of bed if you can't fall asleep
Four clients are candidates for opioid analgesia. Aware of the potential for respiratory depression, a serious side effect of opioid use, which client is at the greatest risk for this adverse outcome.
A. A 40-year-old male with a broken leg who smokes 1 pack of cigarettes a day.
B. A 28-year-old female postpartum with episiotomy pain, no history of respiratory issues.
C. A 65-year-old male with chronic obstructive pulmonary disease (COPD) and mild hip pain.
D. A 35-year-old female with migraines and a history of seasonal allergies.
C. A 65-year-old male with chronic obstructive pulmonary disease (COPD) and mild hip pain.
When administering nasal spray, which instruction by the nurse is appropriate?
a. “You will need to blow your nose before I give this medication.”
b. “You will need to blow your nose after I give this medication.”
c. “When I give this medication, you will need to hold your breath.”
d. “You need to sit up for 5 minutes after you receive the nasal spray.”
What is “You will need to blow your nose before I give this medication."?
Which of the following groups of terms best describes sleep?
A) decreased state of activity, refreshed
B) altered consciousness, relative inactivity
C)comatose, immobility
D) alert,responsive
What is altered consciousness, relative inactivity?
The pain management nurse follows the recommended protocol for preventing constipation when starting a patient on opioids by:
A. Adding bulk fiber to their diet.
B. Giving the patient enemas as needed.
C. Increasing fluids and exercise.
D. Using a bowel stimulant and stool softener.
Using a bowel stimulant and stool softener
The nurse is performing tuberculin testing on a patient. Which action by the nurse is correct?
a. Insert the needle, bevel up, at a 30-degree angle.
b. Massage the area gently after the injection.
c. Measure the diameter of the area of erythema when reading the result.
d. Use a 25-gauge, 3/8” needle.
Use a 25-gauge, 3/8” needle.