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 A
Explanation
A. Macular degeneration
The most common cause of new, irreversible central vision loss in older adults.
B. Glaucoma
Causes peripheral vision loss but progresses slowly and is often asymptomatic early.
C. Cataracts
Cause reversible vision loss that can be corrected surgically.
D. Corneal abrasion
Typically due to trauma or foreign bodies, not an age-related cause of blindness.
Correct Answer is A
Explanation
A. Decreased impulse conduction speed
Aging causes slower nerve conduction due to loss of myelin and reduced neurotransmitter activity, leading to slower reflexes and response times.
B. Atherosclerosis and decreased cellular respiration
These factors affect circulation and energy production but are not primary causes of slowed neurologic responses.
C. Inadequate tissue oxygenation
Can affect brain function acutely, but it's not the main cause of chronic, gradual slowing in the elderly.
D. Loss of neurons in the brain
While this occurs with aging, slowed reflexes are more specifically linked to nerve impulse transmission rather than neuron quantity alone.
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