A sleeping patient has periodic pauses in breathing, then starts to breathe again.
The nurse recognizes this sleep pattern is consistent with:.

Excessive NREM sleep.

Insomnia.

Narcolepsy.

Sleep apnea.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Excessive NREM sleep does not cause periodic pauses in breathing. NREM (Non-Rapid Eye Movement) sleep consists of stages 1 through 4 and is characterized by a decrease in physiological activity, including a decrease in muscle tone. There is no direct association with breathing interruptions in NREM sleep.

Choice B rationale:

Insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep, but it does not involve periodic pauses in breathing. It is unrelated to the symptoms described in the question.

Choice C rationale:

Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden episodes of muscle weakness (cataplexy). It is not associated with periodic pauses in breathing, as described in the question.

Choice D rationale:

Sleep apnea is the correct answer. Sleep apnea is a sleep disorder characterized by repeated episodes of paused or shallow breathing during sleep. The patient may stop breathing for brief periods, then start breathing again. This pattern is consistent with the symptoms described in the question. Sleep apnea can have serious health implications and is important to recognize and address.

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Correct Answer is D

Explanation

Choice A rationale:

Some older adults may indeed have concerns about taking pain medication, but this is not a primary reason for their hesitance to express pain. The fear of taking medication is not a universal characteristic of older adults.

Choice B rationale:

While older adults may be reluctant to bother nursing staff, this is not the primary reason for their reluctance to express pain. It is a consideration but not the main factor.

Choice C rationale:

The unawareness of discomfort is not a common reason for older adults to avoid expressing pain. Most older adults are aware of their discomfort but may not express it for other reasons.

Choice D rationale:

Older adults may have been culturally trained not to complain about pain or discomfort. In some cultures, stoicism and not burdening others with one's pain are highly valued. This cultural training can lead older adults to underreport their pain.

Choice E rationale:

Believing pain is a natural consequence of aging is a misconception, but it is not the primary reason why older adults may not express their pain. They may believe this, but cultural and societal factors have a more significant impact.

A. The client has an elevated blood pressure. B. The client is asleep. C. The client has an increased respiratory rate. D. The client is diaphoretic.

Correct Answer is C

Explanation

Choice A rationale:

An elevated blood pressure is not a reliable indicator of a decrease in pain following the administration of an opioid narcotic. Blood pressure can be influenced by various factors, and it may not directly correlate with the relief of pain.

Choice B rationale:

The client being asleep is not a direct indicator of decreased pain following opioid administration. While opioids may cause drowsiness as a side effect, the absence of pain cannot be confirmed solely based on the patient's sleep state.

Choice C rationale:

An increased respiratory rate can be a reliable indicator of decreased pain following the administration of an opioid narcotic. Opioids often cause respiratory depression, so an increased respiratory rate may suggest that the patient's pain is adequately managed, as they are not experiencing excessive respiratory depression.

Choice D rationale:

Diaphoresis (excessive sweating) is not a direct indicator of decreased pain following opioid administration. Diaphoresis can be caused by various factors, including anxiety, and may not specifically reflect pain relief. .

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A sleeping patient has periodic pauses in breathing, then starts to breathe again.The nurse recognizes this sleep pattern is consistent with:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse attempts to help an 86-year-old patient describe his pain because the nurse is aware the older adult may not express pain because they:.

Correct Answer is D

Explanation

A nurse is collecting data on a client following administration of an opioid narcotic.Which of the following findings indicates a decrease in the client's pain?

Correct Answer is C

Explanation

The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:.

A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy, is slurring words, and is unsteady when ambulating.The nurse should:.

A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route.It is most important to monitor this patient for which adverse drug effects?

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

The nurse performing a focused assessment on pain will assess: (Select all that apply.).

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.Which of the following statements by the client indicates the need for further teaching?

A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

A sleeping patient has periodic pauses in breathing, then starts to breathe again.
The nurse recognizes this sleep pattern is consistent with:.