For the client with obstructive sleep apnea (OSA), the nurse should expect the following findings:

Decreased energy

Thyroid disease

Pneumonia

Hypotension

Answer and Explanation

The Correct Answer is A

Choice A reason: Decreased energy is a common symptom of OSA due to disrupted sleep patterns and the body's struggle to maintain adequate oxygen levels during apneic episodes. This can lead to excessive daytime sleepiness and fatigue.

Choice B reason: While thyroid disease can be associated with sleep disorders, it is not a direct finding of OSA. However, hypothyroidism can contribute to the development of OSA due to myxedematous changes leading to airway obstruction.

Choice C reason: Pneumonia is not a direct finding of OSA. However, individuals with OSA may be at increased risk for respiratory infections due to repeated episodes of upper airway collapse during sleep, which can lead to aspiration.

Choice D reason: Hypotension is generally not associated with OSA. In fact, OSA is more commonly linked with hypertension due to the sympathetic nervous system activation that occurs with each apneic episode.

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Correct Answer is D

Explanation

Choice A reason: The CRIES pain scale is not suitable for a 10-year-old as this scale is designed for neonates, typically those who are 0 to 6 months old.

Choice B reason: A 3-year-old toddler would be better assessed with a pain scale that allows for their level of understanding and communication, such as the Faces Pain Scale-Revised.

Choice C reason: A 4-year-old preschooler can typically communicate their pain verbally or by using a faces pain scale, making the CRIES scale less appropriate.

Choice D reason: The CRIES pain scale is specifically designed for neonates and is appropriate for assessing pain in a 4-day-old infant who cannot verbally communicate their pain.

A. Inspect B. Percuss C. Palpate D. Auscultate

Correct Answer is D

Explanation

Choice A reason: Inspection should be performed first to observe for any visible abnormalities, distention, or movements that could indicate underlying conditions.

Choice B reason: Percussion is used after auscultation to assess the presence of fluid, gas, and to estimate the size of the organs within the abdomen.

Choice C reason: Palpation is typically performed last because it can alter the natural state of the abdomen, potentially causing discomfort and affecting the bowel sounds that are assessed during auscultation.

Choice D reason: Auscultation should be performed before palpation and percussion to avoid altering bowel sounds. It allows the nurse to listen to the natural state of bowel motility and vascular sounds without interference.

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For the client with obstructive sleep apnea (OSA), the nurse should expect the following findings:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a pediatric unit is planning care for a group of clients. Which of the following clients should the nurse plan to use the Crying, Requires oxygen, Increased vital signs, Expression, Sleeplessness (CRIES) pain scale?

Correct Answer is D

Explanation

When assessing a client's abdomen, particularly for "stomach pain," the nurse should:

Correct Answer is D

Explanation

A nurse inserts an indwelling urinary catheter for a client who is preoperative. Three days later, the client develops a urinary tract infection. The nurse should identify that the client has which of the following types of infections?

A nurse is applying a cold compress for pain and minor swelling for a client who has a sutured laceration on the forearm. Which of the following data-collection activities should the nurse use to determine whether the treatment is effective?

A nurse is caring for a client who has a wound infection that contains vancomycin-resistant Enterococcus (VRE). Which of the following types of precautions should the nurse plan to take while caring for this client?

For the client who reports pain, the nurse should consider the following as the most reliable indicator of pain:

A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 88%. Which of the following actions should the nurse take first?

A nurse is collecting data from a client who has insomnia. The nurse should identify that which of the following is likely to disrupt sleep?

A nurse is reinforcing teaching with a client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further instruction?

When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?