A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal.
The nurse explains that an older adult:.

will awaken more often during the night but may nap more often during the day.

should be given hypnotics to induce better sleep.

needs at least 10 hours of sleep a day to prevent fatigue.

requires less napping during the day to sleep better at night.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

True. As people age, it is common for them to experience more frequent awakenings during the night. This is often due to changes in sleep patterns, such as a decreased ability to maintain deep sleep, which can result in waking up more easily. Additionally, older adults may nap more during the day, which can affect their nighttime sleep patterns.

Choice B rationale:

False. Giving older adults hypnotics to induce better sleep is not a recommended approach as it may have adverse effects, including dependency and increased risk of falls. The focus should be on understanding and addressing the underlying causes of sleep disturbances in older adults.

Choice C rationale:

False. While it is important to assess and address sleep concerns in older adults, there is no fixed requirement of needing at least 10 hours of sleep a day to prevent fatigue. Sleep needs can vary, and older adults may require less sleep than younger individuals.

Choice D rationale:

False. Older adults may nap more during the day, but reducing daytime napping is not a guaranteed solution to improve nighttime sleep. Sleep patterns can change with age, and individual variations in sleep needs and habits should be considered.

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Correct Answer is B

Explanation

Choice A rationale:

Sedatives and hypnotics are not typically recommended for long-term relief of sleep problems. They are more commonly used for short-term management of insomnia or acute sleep disturbances. Using these medications for an extended period can lead to tolerance, dependence, and potential side effects.

Choice B rationale:

Neuritis secondary to diabetes is not directly related to the use of sedatives and hypnotics for sleep. This choice does not affect the true or false statement about the long-term use of these medications.

Choice C rationale:

A severely sprained ankle does not impact the use of sedatives and hypnotics for sleep. This choice is not relevant to the true or false statement regarding the long-term use of these medications.

Choice D rationale:

Impaired peripheral circulation is not a determining factor for the long-term use of sedatives and hypnotics for sleep. This choice does not influence the true or false statement in question.

A. "It's unfortunate that I have to be in the hospital for this treatment.”. B. "I wish I didn't have to attach the electrodes to my skin.”. C. "I'll need to shave the hair off the skin where I place the electrodes.”. D. "I hope I don't have to take as many pain pills.”. .

Correct Answer is A

Explanation

Choice A rationale:

The statement, "It's unfortunate that I have to be in the hospital for this treatment," indicates the need for further teaching. TENS therapy is often used as an outpatient treatment and does not require hospitalization. Patients typically receive instructions on how to use TENS units at home.

Choice B rationale:

The statement, "I wish I didn't have to attach the electrodes to my skin," is a common sentiment but does not necessarily indicate a need for further teaching. Attaching electrodes to the skin is a standard part of using TENS therapy, and it's essential for the treatment to be effective. Some patients may find this aspect of treatment uncomfortable or inconvenient.

Choice C rationale:

The statement, "I'll need to shave the hair off the skin where I place the electrodes," is accurate. Shaving the area where electrodes are placed can improve the contact and effectiveness of the TENS therapy. This statement does not indicate a need for further teaching but rather a good understanding of the preparation process.

Choice D rationale:

The statement, "I hope I don't have to take as many pain pills," is a positive sign that the patient understands that TENS therapy can potentially reduce the need for pain medication. It indicates a reasonable expectation for pain management and does not signal a need for further teaching. .

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A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Medication such as sedatives and hypnotics are sometimes prescribed to promote sleep. These can be used for long-term relief.

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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?

A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit.The nurse will initially:.

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.

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

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

The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:.

A nurse evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:.

A nurse assists with checking a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal.
The nurse explains that an older adult:.