The nurse is caring for a client who reports daytime drowsiness. The client states, "My partner says my snoring is getting louder and it sometimes wakes me up." The nurse should further assess the client for which of the following?

Obstructive sleep apnea

Circadian rhythm disorder.

Narcolepsy

Insomnia

Answer and Explanation

The Correct Answer is A

A. Obstructive sleep apnea: Obstructive sleep apnea is characterized by loud snoring, daytime drowsiness, and periods of waking up due to blocked airways. The client’s symptoms are consistent with this condition and warrant further assessment for it.

B. Circadian rhythm disorder: Circadian rhythm disorders involve disruptions in the sleep-wake cycle, but they are less likely to present with loud snoring and daytime drowsiness as primary symptoms.

C. Narcolepsy: Narcolepsy is characterized by excessive daytime sleepiness and sudden sleep attacks but does not typically include loud snoring or waking up from snoring.

D. Insomnia: Insomnia involves difficulty falling or staying asleep and would not typically cause daytime drowsiness from loud snoring or the described waking up issues.

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

Explanation

A. Clean skin using a side to side motion. The skin should be cleaned in a circular motion from the center outward to reduce the risk of infection.

B. Keep skin pinched while injecting medication. Pinching the skin helps create a small "pocket" for the injection, making it easier to administer the medication subcutaneously.

C. Apply firm pressure to the injection site. Applying firm pressure is not recommended immediately after the injection as it can cause discomfort and does not affect absorption. Gentle pressure is usually recommended.

D. Insert the needle at a 45 or 90-degree angle. For subcutaneous injections, a 45-degree angle is often recommended for thinner individuals, while a 90-degree angle is appropriate for those with more tissue.

A. Meeting friends for fast food daily. B. Running 5 miles daily in a safe, well lighted area. C. Exercising 2 hours each day in a gym. D. Walking on a lunch break with a friend in a safe area.

Correct Answer is D

Explanation

A. Meeting friends for fast food daily. This option does not promote joint mobility or health and could lead to poor overall health.

B. Running 5 miles daily in a safe, well-lit area. While running can improve cardiovascular health, it may not be appropriate for an elderly person due to the risk of joint and injury.

C. Exercising 2 hours each day in a gym. Excessive exercise can lead to injury, particularly in the elderly. Moderation and appropriate exercise are crucial.

D. Walking on a lunch break with a friend in a safe area. Regular walking is a low-impact exercise that promotes joint mobility and overall health, making it a suitable choice for an elderly person.

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The nurse is caring for a client who reports daytime drowsiness. The client states, "My partner says my snoring is getting louder and it sometimes wakes me up." The nurse should further assess the client for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering a subcutaneous injection to a client. Which of the following actions should the nurse take?

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

Explanation

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Correct Answer is D

Explanation

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