Exam (elaborations)
Fundamentals Unit 3 Quiz (1)
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Fundamentals Unit 3 Quiz (1)
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Fundamentals Unit 3 QuizA client reports to the nurse sleeping until noon every day and taking frequent naps during the rest
of the day. Which would the nurse do initially?
1. Encourage the client to exercise during the day.
2. Arrange a referral for a thorough medical evaluation.
3. Explain that this behavior is an attempt to avoid facing daily responsibilities.
4. Identify that the client is describing clinical findings associated with narcolepsy. - CORRECT
ANSWER-2. Arrange a referral for a thorough medical evaluation.
Which concern will the nurse keep in mind when a client has been taking a benzodiazepine?
1. Rebound insomnia may occur if the medication is discontinued abruptly.
2. Lifelong treatment is often required
3. Higher doses are needed to accommodate physiological changes during pregnancy
4. These medications have both analgesic and antidepressant properties. - CORRECT
ANSWER-1. Rebound insomnia may occur if the medication is discontinued abruptly.
Which nursing action is most appropriate to help reduce the likelihood of an older adult client
falling during the night?
1.
2.
3.
4. - CORRECT ANSWER-
Which priority teaching intervention would the nurse include in the care plan for a client who has
insomnia?
1. Medication administration procedures
2. Sleep and cognitive changes
3. Dietary measures to be followed at night
4, Nonpharmacological measures, including sleep techniques - CORRECT ANSWER-2. Sleep
and cognitive changes
The nurse would first teach about sleep and cognitive changes to the client with insomnia. The
nurse can teach about medication administration procedures, but this is not the priority. The nurse
can teach dietary measures to be followed at night after teaching about sleep and behavioral
changes. Teaching about nonpharmacological procedures is also not the priority nursing
intervention.
During a routine clinic visit, an older adult complains about being unable to sleep well at night and
then feeling sleepy throughout the next day. Which sleep promotion technique would the nurse
advise?
1. Include age-appropriate exercise daily
2. Include age-appropriate exercise daily
3. Avoid naps during the daytime
4. Have a hot cup of tea at bedtime - CORRECT ANSWER-1. Include age-appropriate exercise
daily
, A registered nurse is teaching a student nurse about factors that influence sleep. Which scenario
explained by the registered nurse is an example of a lifestyle factor?
1. "A client reports trouble falling asleep because of thinking about stress at work."
2. "A client in the intensive care unit has not slept properly because of noises and disturbances."
3. "A client who has been taking antidepressants reports drowsiness and lack of sleep."
4. "A client who works rotating overnight shifts reports fatigue and difficulty sleeping through the
night." - CORRECT ANSWER-4. "A client who works rotating overnight shifts reports fatigue and
difficulty sleeping through the night."
Which nursing interventions would the nurse implement to promote sleep for a client in a health
care setting? Select all that apply. One, some, or all responses may be correct.
1. Restrict visitors.
2. Reduce lighting.
3. Provide activities during the day.
4. Decrease the sounds of the infusion alarms.
5. Increase the dosage of pain prescriptions at - CORRECT ANSWER-2. Reduce lighting.
3. Provide activities during the day.
Which infection requires airborne precautions? Select all that apply. One, some, or all responses
may be correct.
1. Measles
2. Influenza
3. Clostridium difficile
4. Bacterial meningitis
5. MRSA - CORRECT ANSWER-1. Measles
The nurse is teaching unlicensed assistant personnel about ways to prevent the spread of
infection. The nurse decides to emphasize the need to break the cycle of infection. Which teaching
would be priority?
1. Hand washing before and after providing client care
2. Cleaning all equipment with an approved disinfectant after use
3. Wearing personal protective equipment (PPE) when providing client care
4. Using medical and surgical aseptic techniques at all times - CORRECT ANSWER-1. Hand
washing before and after providing client care
Applying a surgical mask in the correct order. - CORRECT ANSWER-1. Find the top edge of the
mask.
2.Hold the mask by its two strings or loops.
3.Secure the two top ties at the back of the head, with the ties above the ears.
4.Tie the two lower ties snugly around the neck with the mask well around the chin.
5.Gently pinch the upper metal band around the bridge of the nose.
Arrange the order of pathophysiology involved with the development of pressure ulcers on the
sacrum, hips, and ankles of a client with quadriplegia. - CORRECT ANSWER-Quadriplegic clients
are immobile or wheelchair bound and incapable of changing position without assistance;
therefore they have more chances of developing pressure ulcers. Tissue compression from
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