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NUR 306 Final Exam Questions with complete solution A nurse is developing a plan for a patient who was diagnosed with narcolepsy. which interventions should the nurse include on the plan? - correct answer - take brief, 20 minute naps no more than twice a day. - establish a regular exercise p...

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  • November 18, 2024
  • 16
  • 2024/2025
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NUR 306 Final Exam Questions with
complete solution
A nurse is developing a plan for a patient who was diagnosed with narcolepsy.
which interventions should the nurse include on the plan? - correct answer
✔- take brief, 20 minute naps no more than twice a day.
- establish a regular exercise program
- teach the patient about the side effects of modafinil.


which statement made by a patient indicate an understanding of behaviors
that will promote sleep? - correct answer ✔-"i will not watch tv in bed".
- "I will not caffeine later in the day".
- " I will start to exercise regularly during the day."


a 72 year old patient asks the nurse about using an over the counter
antihistamine as a sleeping agent to help her get to sleep. what is the nurses
best response? - correct answer ✔"Antihistamines should not be used
because they can cause confusion and increase your risk for falls".


which nursing interventions best promotes effective sleep in an older adult? -
correct answer ✔- limit fluids 2-4 hours before bed.
- ensure that the room temperature in comfortably cool.
- provide warm covers.


which statement made by the patient indicates an understanding of sleep-
hygiene practices? - correct answer ✔" I usually drink. cup of warm milk in
the evening to help me sleep."

,which nursing interventions are appropriate to include in a plan of care to
promote sleep for patients who are hospitalized? - correct answer ✔- plan
vital signs to be taken before the patient is a sleep
- have patient follow at home bed time schedule
- close the door of the patients room at bedtime.


the nurse is contacting the health care provider about a patients sleep
problem. place the steps in SBAR in the correct order. - correct answer ✔-
"Dr. Smithson, this is Pam, the nurse caring for Mrs. Dodd. im calling becasue
Mrs. Dodd is having difficult sleeping.
- Mrs. Dodd, 46 year old was admitted 3 days ago following a motor vehicle
accident. she is in balanced skeletal traction for a femur fracture. she is
having difficulty falling asleep.
- Mrs. Dodd is taking her pain medication every 4 hours as ordered and rates
her pain a 2 out of 10. last night she was still awake at 1 am. she states that
she is comfortable but that she just cant fall asleep. her vitals are Bp 124/76,
P 78, R 12, and T 98.8.
- im calling to ask if you would order a hypnotic such as zolpidem to use on a
prn basis.


which statement made by a mother being discharged home with her newborn
infant indicates that she understands the discharge teaching related to best
sleep practices. - correct answer ✔"well place the baby on her back to
sleep".


a nurse is taking a sleep history from a patient. which statement made by the
patient needs further follow up? - correct answer ✔" it takes me about 45-60
minutes to fall asleep.


which sleep hygiene actions at bedtime can the nurse delegate to the AP? -
correct answer ✔_ giving a patient a back rub

, - turning on quite music
- dimming the lights in the patients room.


which of the following signs or symptoms in a patient who is opioid-naive is of
greatest concern to the nurse when assessing the patient one hour after
administering an opiod? - correct answer ✔difficulty arousing the patient


a health care provider writes the following order for a patient who is opioid
naive who returned from operating room following a total hip replacement:
Fentanyl patch 100mcg, change every 3 days." on the basis of this order, the
nurse takes which action? - correct answer ✔calls the health care provider
and question the provider


a patient is being discharged home on an around the clock opioid for
postoperative pain. because of this order the nurse anticipates an additional
order for which class of medication? - correct answer ✔Stool softners


a new medical resident writes an order for oxycodone CR 10 mg PO q2h prn.
which part of the order does the nurse question? - correct answer ✔the time
interval


the nurse reviews a patients medical administration record and finds that the
patient has received oxycodone/acetaminophen (5/325), two tablets PO every
3 hours for the past 3 days. what concerns the nurse the most? - correct
answer ✔the amount of daily acetaminophen.


when using ice massage for pain relief, whcih of the following is correct? -
correct answer ✔- apply ice using firm pressure over the skin.
- apply ice for 5 minutes or until numbness occurs.
- use a slow steady circular massage.

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