During the interview of a client, the client states, "I have trouble falling asleep." Which action would be appropriate for a nurse to do next?

Report the finding so a sleep medication can be prescribed.

Clarify what the client means by trouble falling asleep.

Ask the client what they do before going to bed.

Question the client about their use of caffeine.

Answer and Explanation

The Correct Answer is B

A. Report the finding so a sleep medication can be prescribed. While this might eventually be necessary, it's premature to suggest medication without further assessing the problem. Other interventions could be tried first.

B. Clarify what the client means by trouble falling asleep. Clarifying the client's statement is essential to understand the specific nature of the sleep problem, such as how long it takes to fall asleep, how often it occurs, and whether there are any contributing factors. This is a critical step in assessment before any further action.

C. Ask the client what they do before going to bed. This is a good follow-up question, but it should come after clarification of what the client means by trouble falling asleep. Understanding pre-bedtime routines is important but secondary to defining the issue.

D. Question the client about their use of caffeine. While this is a relevant question that could affect sleep patterns, it should follow after understanding the client's specific sleep issues.

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Correct Answer is A

Explanation

A. Agranulocytosis: Carbamazepine carries a boxed warning for serious hematologic effects, including agranulocytosis and aplastic anemia. Agranulocytosis is a significant drop in white blood cell count, leading to a high risk of infection.

B. Birth defects: While carbamazepine is associated with birth defects when taken during pregnancy, the boxed warning specifically highlights the risk of severe blood disorders like agranulocytosis.

C. Skin rash: Carbamazepine can cause serious skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis, but the boxed warning focuses more on the hematologic risks.

D. Liver damage: Although carbamazepine can cause liver damage, this is not the primary focus of the boxed warning, which emphasizes hematologic effects.

A. Place the client in a private room. B. Place a chair next to the bed to allow the spouse to sit. C. Have visitors wear dosimeters for safety. D. Allow visitors to telephone only.

Correct Answer is A

Explanation

A. Place the client in a private room. This is the correct action because clients with radioactive implants need to be isolated to minimize radiation exposure to others.

B. Place a chair next to the bed to allow the spouse to sit. While emotional support is important, prolonged close contact with someone who has a radioactive implant is not recommended due to the risk of radiation exposure.

C. Have visitors wear dosimeters for safety. While this is a good safety measure, the primary concern is limiting visitors and ensuring the client is in a private room to minimize exposure.

D. Allow visitors to telephone only. While telephone communication can be safe and supportive, the best initial action is to place the client in a private room to control radiation exposure.

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During the interview of a client, the client states, "I have trouble falling asleep." Which action would be appropriate for a nurse to do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Carbamazepine has a boxed warning for which adverse effect?

Correct Answer is A

Explanation

A nurse is receiving a client with a radioactive implant for the treatment of cervical cancer. What is the nurse's best action?

Correct Answer is A

Explanation

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