Exhibits

The nurse is planning care for the client.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Acute pain: The client’s symptoms, such as moaning, facial grimacing, and muscle spasms in the right leg, suggest they are experiencing acute pain. This condition is consistent with the sudden onset of pain and physical reactions.
Request prescription for pain medication: This action addresses the client’s immediate pain needs, helping to alleviate discomfort and improve overall well-being.
Request antispasmodic medication: The muscle spasms observed indicate that an antispasmodic may help reduce the muscle tension and associated pain, providing relief from the spasms.
Response to pain medications: Monitoring the client's response to the prescribed pain medication will help determine the effectiveness of the intervention and whether further adjustments are needed.
Severity of muscle spasms: Assessing the severity of muscle spasms will help evaluate the impact of the antispasmodic treatment and provide insight into the client’s progress in managing the pain.

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Correct Answer is ["C","D","E"]

Explanation

A. Raising the four side rails on the bed can be considered a form of restraint and might increase the risk of injury if the client attempts to climb over them. It is not recommended unless necessary and in accordance with facility policies.
B. Closing the client's room door could increase the client's confusion and sense of isolation, making it harder for the staff to monitor the client’s safety.
C. Orienting the client to the surroundings is essential in reducing confusion and preventing further wandering. It helps the client feel more secure and less disoriented.
D. Securing a bed alarm on the mattress is a proactive safety measure that can alert the staff if the client attempts to leave the bed again, thus preventing potential harm.
E. Escorting the client back to her room ensures immediate safety and provides an opportunity to assess the client's condition and needs in a controlled environment.

A. Hypothyroidism. B. Hypertension. C. Peptic ulcer disease. D. Fibromyalgia.

Correct Answer is B

Explanation

A. Hypothyroidism is not directly related to obstructive sleep apnea. While sleep apnea can have various systemic effects, hypothyroidism is not a common complication associated with it.
B. Obstructive sleep apnea is strongly associated with an increased risk of hypertension. The repeated episodes of oxygen desaturation and arousal during sleep can contribute to increased blood pressure and cardiovascular strain.
C. Peptic ulcer disease is not a known complication of obstructive sleep apnea. It is generally associated with factors like H. pylori infection, NSAID use, and stress rather than sleep apnea.
D. Fibromyalgia is a chronic pain syndrome and is not typically associated with obstructive sleep apnea. Sleep apnea can exacerbate fatigue and sleep disturbances but does not directly cause fibromyalgia.

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Naxlex Comprehensive Predictor Exams

The nurse finds a confused client wandering in the hallway during the night. Which actions should the nurse implement? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

The nurse is caring for a client with obstructive sleep apnea. The nurse should recognize the client is at greater risk for the development of which complication?

Correct Answer is B

Explanation

Which is the best approach for the nurse to use when interviewing a client about sexuality/reproductive function?

The nurse identifies several nursing problems for a client who is incontinent and immobile after a stroke and is now experiencing diarrhea. The client resides at home and the spouse is the primary caregiver. While planning care, the nurse should determine which problem has the highest priority?

The nurse notes that a client has cyanosis of the toes and fingertips. Which vital sign should the nurse obtain first?

When turning a male client who has been lying on his back for 2 hours, the nurse notes that the skin over his sacrum is very white. The client is repositioned and when the nurse reassesses the sacrum 2 hours later, the area is bright red. Which intervention should the nurse implement?

The nurse learns that members of the nursing staff are uncomfortable with responding to client family members who are angry. While designing a teaching session to help the staff respond more effectively in these situations, which instructional strategy is best for the nurse to use?

During the admission process, a client requests more information about advance directives. Which professional should the nurse recommend the client contact?

The nurse knows that skin turgor changes with age. Which intervention is most helpful in dealing with normal aging changes of the skin?