The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?

Small muscle twitching.

An increase in temperature.

Difficult to arouse.

An increase in pulse rate.

Answer and Explanation

The Correct Answer is C

A. Small muscle twitching. Small muscle twitching is more common during REM sleep, not Stage IV NREM sleep.

B. An increase in temperature. Stage IV NREM sleep is associated with stable body temperature rather than an increase.

C. Difficult to arouse. Stage IV NREM sleep is known as deep sleep, and individuals are indeed difficult to arouse during this stage.

D. An increase in pulse rate. Stage IV NREM sleep typically features a stable or decreased pulse rate, not an increase.

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Correct Answer is A

Explanation

A. Sexually transmitted infections: This is relevant for young adults as preventive measures can help avoid STIs, which is an important health issue in this age group.

B. Communicable diseases: While important, communicable diseases are a broader category and might not be as specific to the preventive focus for young adults.

C. Cardiovascular disease: Cardiovascular disease becomes a more significant concern in middle adulthood, so it is less relevant to preventive measures for young adults.

D. Mental health alterations: Mental health issues are significant and relevant for young adults, but cardiovascular disease is more specific to preventive measures for the transition into middle adulthood.

A. Acute pain B. Risk for injury C. Activity Intolerance D. Toileting self-care deficit

Correct Answer is B

Explanation

A. Acute pain: This diagnosis might be relevant if the patient has pain, but it does not address the main concern of mobility and risk related to recent falls.

B. Risk for injury: This is the most appropriate diagnosis as the patient’s inability to bear weight and recent falls increase their risk of further injury.

C. Activity Intolerance: While the patient may have activity intolerance, the more pressing concern related to their recent falls and inability to bear weight is the risk for injury.

D. Toileting self-care deficit: This diagnosis might be relevant if there were specific issues with toileting, but it is not the most appropriate for the general risk of injury due to recent falls.

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The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of young adult clients about preventive measures to help avoid the major health problems-of middle adult years. Which of the following should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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