The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:

I snore so loudly that I wake her up several times a night."

neither of us sleeps well after we have a big fight."

I sleep so soundly it's like waking the dead to get me up."

she's heard me tell jokes in my sleep."

Answer and Explanation

The Correct Answer is A

A. This statement suggests that the client may have sleep-disordered breathing, such as obstructive sleep apnea, which can disrupt the client's sleep patterns and affect their overall sleep quality. The nurse may want to inquire further about the frequency and severity of the snoring, as well as any associated symptoms such as daytime fatigue or observed pauses in breathing during sleep.
B. This statement indicates that emotional stressors, such as arguments or conflicts, may impact the client's sleep patterns. The nurse may want to explore how often these conflicts occur and how they affect the client's ability to fall asleep or stay asleep. Additionally, the nurse may inquire about coping strategies or interventions that the client and their partner use to address conflicts and minimize their impact on sleep.
C. This statement suggests that the client experiences deep or heavy sleep, which may or may not be problematic depending on the context. While deep sleep can be indicative of good sleep quality, it may also raise concerns about the client's ability to awaken in the event of an emergency or the presence of a sleep disorder such as hypersomnia. The nurse may want to inquire further about the client's overall sleep duration, sleep latency, and any difficulties with waking up in the morning.
D. This statement suggests that the client may experience sleep talking, which is a common sleep phenomenon. While sleep talking itself is typically benign, it may indicate underlying sleep disturbances such as sleep fragmentation or abnormal sleep cycles. The nurse may want to ask additional questions to assess the frequency and content of the sleep talking, as well as any potential impacts on the client's sleep quality or daytime functioning.

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Correct Answer is C

Explanation

C. Excessive noise in the hospital environment, including alarms, conversations, and equipment noises, can disrupt sleep and negatively impact sleep quality. Therefore, limiting unnecessary noise on the unit is a crucial nursing intervention for improving sleep quality in the acute care setting. This may involve implementing quiet hours, reducing unnecessary conversations and activities during nighttime hours, and using noise-reducing strategies such as earplugs or white noise machines.
A. While providing a bedtime snack may help alleviate hunger and promote comfort, especially if the client is on a restricted diet or experiencing appetite changes, it may not directly address factors affecting sleep quality. Additionally, consuming food close to bedtime may not be suitable for all patients, especially those with dietary restrictions or certain medical conditions. Therefore, while a bedtime snack may be beneficial in some cases, it may not be the most important intervention for improving sleep quality in the acute care setting.
B. Pulling curtains around the bed can help create a sense of privacy and reduce visual distractions, which may contribute to a more conducive sleep environment. Enhanced privacy can also promote relaxation and feelings of security, potentially improving sleep quality. However, while privacy curtains can mitigate some external disturbances, they may not completely eliminate factors that affect sleep, such as noise or light.
D. Providing a backrub can promote relaxation, relieve tension, and enhance comfort, which may contribute to improved sleep quality for some patients. Massage therapy has been shown to reduce stress and promote relaxation, potentially facilitating better sleep. However, while backrubs can be a beneficial adjunct to promoting relaxation and comfort, they may not address all factors that affect sleep quality in the acute care setting.

A. RUQ B. Hypogastric C. LLQ D. LUQ E. RLQ

Correct Answer is ["A","D"]

Explanation

A. The renal arteries are not typically located in the right upper quadrant. This area primarily contains the liver, gallbladder, and portions of the small intestine and large intestine. Therefore, RUQ is not associated with the location of the renal arteries.
D. LUQ (Left Upper Quadrant): The renal arteries are not typically located in the left upper quadrant. This area primarily contains the spleen, stomach, pancreas, and portions of the small intestine and large intestine. Therefore, LUQ is not associated with the location of the renal arteries.
B. Hypogastric: The hypogastric region, also known as the pubic region or lower abdominal region, is located below the umbilical region (lower middle abdomen). The renal arteries are not typically located in the hypogastric region. This area primarily contains structures such as the bladder, uterus (in females), and reproductive organs. Therefore, hypogastric is not associated with the location of the renal arteries.
C. LLQ (Left Lower Quadrant): The renal arteries are not typically located in the left lower quadrant. This area primarily contains the descending colon, sigmoid colon, and portions of the small intestine. Therefore, LLQ is not associated with the location of the renal arteries.
E. RLQ (Right Lower Quadrant): The renal arteries are not typically located in the right lower quadrant. This area primarily contains the appendix, cecum, ascending colon, and portions of the small intestine. Therefore, RLQ is not associated with the location of the renal arteries.

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The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most important nursing intervention to increase sleep quality in the acute care hospital setting?

Correct Answer is C

Explanation

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Correct Answer is ["A","D"]

Explanation

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