"There are three questions associated with this case." "Insomnia-Fatigue Case 1."
A patron enters the pharmacy complaining of sleeplessness. She wants to try diphenhydramine 100 mg, but she is worried about being sleepy in the morning. She is already napping all day
What is the patient's sleep disorder?
More information is needed
Chronic insomnia
Narcolepsy
Chronic fatigue
The Correct Answer is A
A. More information is needed: The client’s case provides limited data, there is insufficient detail about sleep onset, duration, nighttime awakenings, or associated symptoms such as cataplexy, sleep paralysis, or other systemic conditions. Accurate diagnosis of a sleep disorder requires a comprehensive sleep history, possibly including a sleep diary, polysomnography, and assessment of contributing medical or psychiatric conditions.
B. Chronic insomnia: Chronic insomnia is characterized by difficulty falling asleep, staying asleep, or early morning awakenings for at least three nights per week over three months, with resulting daytime impairment. The client’s symptoms focus on daytime napping without clear nighttime sleep difficulties, so chronic insomnia cannot be confirmed.
C. Narcolepsy: Narcolepsy involves excessive daytime sleepiness, cataplexy, sleep paralysis, or hallucinations at sleep onset. While the client has daytime sleepiness, there is no information about sudden sleep attacks, cataplexy, or other hallmark narcolepsy features, making this diagnosis premature.
D. Chronic fatigue: Chronic fatigue is a persistent state of physical and mental exhaustion lasting six months or longer, often associated with other systemic symptoms. The client reports acute sleepiness and naps but lacks the broader systemic context to diagnose chronic fatigue syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Coronavirus: Dextromethorphan does not treat viral infections such as coronavirus. While it may help manage a symptom like a cough, it has no antiviral properties or effect on the underlying infection.
B. Allergic rhinitis: Allergic rhinitis is primarily treated with antihistamines, intranasal corticosteroids, or decongestants. Dextromethorphan does not address nasal congestion, sneezing, or histamine-mediated symptoms.
C. Nonproductive cough: Dextromethorphan is an antitussive that suppresses the cough reflex, making it effective for dry, nonproductive coughs where coughing provides no benefit and causes discomfort or sleep disturbance.
D. Ineffective productive cough: In a productive cough, suppression with dextromethorphan is not recommended because coughing helps clear secretions from the airways. Using it in this situation could worsen airway obstruction or infection risk.
Correct Answer is B
Explanation
A. Sinus: Sinus headaches are typically associated with facial pain, pressure around the eyes, cheeks, or forehead, and are often accompanied by nasal congestion or discharge. They are usually bilateral and worsen with bending forward, rather than presenting as unilateral throbbing pain.
B. Migraine: Migraines are characterized by unilateral, pulsating, or throbbing pain that can last from hours to several days. They are often accompanied by nausea, vomiting, photophobia, or phonophobia, and may be triggered by stress, certain foods, or hormonal changes.
C. Aggravating: “Aggravating” is not a type of headache; it describes factors that can worsen headache pain rather than a classification. It does not provide information about duration, location, or quality of the pain.
D. Tension: Tension-type headaches usually present as bilateral, pressing, or tightening pain of mild to moderate intensity. They are not pulsating and do not last as long as migraines, and they are rarely accompanied by nausea or sensory sensitivity.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.