A nurse is caring for a client who reports insomnia. The nurse should monitor the client for which of the following adverse effects of sleep deprivation? (Select all that apply.)
Hyperreflexia
Altered taste
Depression
Tension headaches
Mood swings
Correct Answer : C,D,E
A. Hyperreflexia: Sleep deprivation does not result in hyperreflexia. Instead, it may cause slowed reflexes, decreased alertness, and impaired coordination rather than exaggerated reflex activity.
B. Altered taste: Changes in taste perception are not commonly linked to sleep deprivation. Taste disturbances are more often related to medication side effects, chemotherapy, or neurological disorders.
C. Depression: Lack of adequate sleep can negatively affect neurotransmitter regulation, leading to irritability, poor concentration, and depressive symptoms. Chronic sleep deprivation is strongly associated with mood disorders.
D. Tension headaches: Sleep deprivation often leads to muscle tension, increased stress hormones, and reduced pain tolerance, all of which can contribute to recurrent tension-type headaches.
E. Mood swings: Sleep loss disrupts emotional regulation, making clients more prone to irritability, frustration, and frequent mood fluctuations. This is a common manifestation seen in those with chronic insomnia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. Wear a protective gown while caring for the client: C. difficile is spread by contact with spores, so gowns must be worn to prevent contamination of clothing and transmission to other patients.
B. Place the client in a private room: A private room is necessary to prevent cross-contamination since C. difficile spores can survive on surfaces for long periods. Cohorting is an option only if private rooms are unavailable.
C. Wear an N-95 respirator while caring for the client: An N-95 respirator is not needed because C. difficile is not airborne. Standard surgical masks are not routinely required unless there is a risk of splashes.
D. Place the client in a negative pressure room: Negative pressure rooms are reserved for airborne pathogens like TB or measles. C. difficile requires contact precautions, not airborne isolation.
E. Place a mask on the client when they leave their room: Since C. difficile is transmitted via contact and does not spread through the air, a mask is not needed for the client when they leave their room for essential procedures.
Correct Answer is A
Explanation
A. Temporary urinary retention: After removal of an indwelling catheter, some clients may experience temporary difficulty initiating urination due to decreased bladder tone or sphincter control. Monitoring for urinary retention is an expected nursing responsibility post-catheter removal.
B. Blood-tinged urine: While mild trauma can occasionally cause slight hematuria, blood-tinged urine is not an expected outcome. Persistent or visible blood suggests possible urethral injury or infection and would require provider notification.
C. Urinary frequency for several days: Frequency is not typical after short-term catheter use. Instead, frequency may indicate bladder irritation, infection, or other underlying urinary tract pathology rather than being an expected outcome.
D. Highly concentrated urine: Urine concentration depends on hydration status, not catheter removal. Concentrated urine may signal dehydration but is not directly related to the removal of an indwelling catheter.
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