A newly admitted 72-year-old resident of a long-term care facility naps frequently during the day, stating that he is tired. What is the best action by the nurse?
Obtain an order from the primary caregiver for a sedative.
Ask the patient if he is sleeping well at night.
Tell the patient that he cannot take any more naps.
Plan activities to keep the patient awake during the day.
The Correct Answer is B
A. Obtain an order from the primary caregiver for a sedative
Not appropriate as a first step; sedatives in the elderly increase the risk of falls and confusion and should only be used after thorough evaluation.
B. Ask the patient if he is sleeping well at night
This helps identify underlying sleep disturbances, such as nocturia or insomnia, which may be the cause of daytime fatigue.
C. Tell the patient that he cannot take any more naps
Restricting naps without assessing the cause of tiredness is inappropriate and may worsen fatigue.
D. Plan activities to keep the patient awake during the day
May be helpful after assessing nighttime sleep habits and determining the cause of daytime drowsiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Changes in the lens
Related to vision changes (e.g., presbyopia), not hearing.
B. Hardening of the outer ear canal
Can cause conductive hearing loss, but presbycusis is sensorineural in nature.
C. Atrophic changes in the cochlea
Presbycusis is due to degeneration of the cochlea and auditory nerve, a normal age-related change.
D. Ototoxicity from medications
This causes pathologic hearing loss, not the gradual, age-related loss seen in presbycusis.
Correct Answer is B
Explanation
A. Obtain an order from the primary caregiver for a sedative
Not appropriate as a first step; sedatives in the elderly increase the risk of falls and confusion and should only be used after thorough evaluation.
B. Ask the patient if he is sleeping well at night
This helps identify underlying sleep disturbances, such as nocturia or insomnia, which may be the cause of daytime fatigue.
C. Tell the patient that he cannot take any more naps
Restricting naps without assessing the cause of tiredness is inappropriate and may worsen fatigue.
D. Plan activities to keep the patient awake during the day
May be helpful after assessing nighttime sleep habits and determining the cause of daytime drowsiness.
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