A nurse is caring for a client who reports difficulty sleeping and has a new diagnosis of sleep apnea. Which of the following statements by the client should the nurse expect?
"I have headaches in the evening."
"I feel rested upon wakening."
"I feel alert during the day."
"My spouse says I snore."
The Correct Answer is D
A. "I have headaches in the evening.": Headaches associated with sleep apnea typically occur in the morning due to nocturnal hypoxia and carbon dioxide retention, not in the evening. Evening headaches are not a common presenting symptom.
B. "I feel rested upon wakening.": Clients with sleep apnea often experience non-restorative sleep and wake feeling tired or unrefreshed. Feeling rested upon waking would not be expected in untreated sleep apnea.
C. "I feel alert during the day.": Daytime sleepiness is a hallmark symptom of sleep apnea due to fragmented sleep and oxygen desaturation. Feeling alert would not align with the typical presentation.
D. "My spouse says I snore.": Loud, habitual snoring is a common and expected symptom of obstructive sleep apnea. It is often reported by bed partners and is an important clinical clue for diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Wear a lead apron when providing care: Lead aprons help protect the nurse from radiation exposure when providing close care to a client with a sealed radiation implant. This is a standard safety precaution in managing patients receiving internal radiation therapy.
B. Close the door to the client's room: Keeping the door closed limits unnecessary exposure to radiation for other clients and staff in the unit. It also helps maintain a controlled environment for infection and radiation safety.
C. Place the client in a semi-private room: Clients with sealed radiation implants should be placed in a private room to minimize radiation exposure to other patients and staff. Semi-private rooms increase the risk of unnecessary exposure and are not recommended.
D.This is an application of Time. The risk of radiation damage is cumulative. By restricting visits to 30 minutes per 24-hour period, the facility ensures that guests stay well below the threshold for accidental radiation injury.
E.This is incorrect for two reasons. First, pregnant women and children under the age of 18 are generally prohibited from visiting a client with a radiation implant due to the high sensitivity of developing fetal and juvenile tissues. Second, even for authorized visitors, the safe distance is at least 6 feet (2 meters), not 3 feet.
Correct Answer is C
Explanation
A. The client's activity level: Physical activity is a modifiable risk factor because the client can increase exercise to reduce cardiovascular risk. Lifestyle changes in activity level can significantly impact heart health and recovery after a myocardial infarction.
B. The client's stress level: Stress is a modifiable risk factor as clients can employ stress-reduction techniques, counseling, or lifestyle modifications to lower cardiovascular risk. Managing stress can improve both short-term and long-term cardiac outcomes.
C. The client's race: Race is a nonmodifiable risk factor because it is inherent and cannot be changed. Certain racial and ethnic groups have a higher prevalence of cardiovascular disease due to genetic, socioeconomic, and health access factors.
D. The client's diet: Diet is a modifiable risk factor since clients can adjust their nutritional intake to reduce cholesterol, blood pressure, and overall cardiovascular risk. Nutritional counseling is often part of post-MI care to improve outcomes.
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