A nurse is assessing a client's sleep-wake patterns during an initial clinic visit. Which of the following findings should the nurse report to the provider?

The client reports frequently having a headache in the morning.

The client reports having vivid dreams about their childhood.

The client reports taking 30 min to fall asleep on average.

The client reports sleeping about 7 hr on average.

Answer and Explanation

The Correct Answer is A

A. The client reports frequently having a headache in the morning: Frequent morning headaches can indicate sleep-related issues such as sleep apnea or bruxism (teeth grinding), both of which can significantly affect sleep quality and overall health.

B. The client reports having vivid dreams about their childhood: Vivid dreams can occur naturally, especially during rapid eye movement (REM) sleep. Although they may be unusual, they are not typically a cause for concern.

C. The client reports taking 30 min to fall asleep on average: Taking up to 30 minutes to fall asleep is within normal limits for most people. This is not a concerning finding and does not necessarily require reporting unless the client is experiencing other sleep disturbances.

D. The client reports sleeping about 7 hr on average: Sleeping around 7 hours per night is considered within the normal range for most adults. This is generally adequate sleep, and there is no indication of a significant issue that would require reporting to the provider.

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Correct Answer is B

Explanation

A. Keep eyes open during relaxation therapy: Keeping the eyes closed is typically recommended during relaxation and meditation to help focus and avoid external distractions. Keeping the eyes open can interfere with the ability to achieve a relaxed state.

B. Tighten and relax muscles during relaxation therapy: Progressive muscle relaxation involves tightening and then relaxing each muscle group to help reduce tension and promote relaxation. This technique helps increase body awareness and alleviate stress.

C. Plan to meditate immediately after meals: Meditating immediately after meals can be uncomfortable because it may cause indigestion or distract from the relaxation process. It’s better to meditate when the stomach is not full to avoid discomfort.

D. Take short and shallow breaths when meditating: Deep and slow breathing is a key component of meditation and relaxation techniques. Short and shallow breaths can increase stress rather than reduce it, as they may activate the body's "fight or flight" response. Deep breathing helps activate the parasympathetic nervous system, which promotes relaxation.

A. Holds linens close to the body B. Shakes soiled linens before placing them in the hamper C. Puts unneeded clean linens in the hamper D. Places soiled linens on the floor

Correct Answer is A

Explanation

A. Holds linens close to the body: Holding linens close to the body reduces the risk of contamination and ensures that the linens do not touch potentially unclean surfaces. This practice helps maintain medical asepsis by preventing the spread of microorganisms.

B. Shakes soiled linens before placing them in the hamper: Shaking soiled linens can cause microorganisms to become airborne and spread. To maintain asepsis, linens should be handled gently and placed directly into the hamper without shaking.

C. Puts unneeded clean linens in the hamper: Clean linens should not be placed in the hamper as they could become contaminated. Clean linens should be stored in a clean area to maintain their aseptic state until needed.

D. Places soiled linens on the floor: Placing soiled linens on the floor introduces the risk of contamination, as the floor is not considered a clean surface. Soiled linens should be placed directly into a designated container to maintain medical asepsis.

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A nurse is assessing a client's sleep-wake patterns during an initial clinic visit. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A nurse is evaluating an assistive personnel (AP) who is changing a client's bed linens. Which of the following actions by the AP demonstrates medical asepsis?

Correct Answer is A

Explanation

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