The nurse is caring for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention would be most appropriate to promote sleep?

Stopping smoking immediately

Running 30 minutes every morning

Limiting the diet to 1500 calories a day

Sleeping on two to three pillows at night

Answer and Explanation

The Correct Answer is D

Choice A reason: Stopping smoking is beneficial for lung health but does not directly address immediate fatigue from ineffective breathing during sleep. Elevating the head improves airway patency overnight, providing faster relief for sleep-related breathing issues, making this less effective.

Choice B reason: Running 30 minutes daily is inappropriate for an obese patient with fatigue and ineffective breathing, as it may exacerbate respiratory strain. Elevating the head during sleep directly improves oxygenation, making exercise a long-term rather than immediate solution for sleep promotion.

Choice C reason: Limiting diet to 1500 calories addresses obesity but not acute fatigue from ineffective breathing during sleep. Sleeping with pillows elevates the head, reducing airway obstruction and improving rest, making dietary changes a secondary intervention for this specific issue.

Choice D reason: Sleeping on two to three pillows is the most appropriate intervention, as it elevates the head, reducing airway collapse in obese patients with ineffective breathing. This promotes better oxygenation during sleep, alleviating fatigue, making it the most effective immediate strategy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Bananas are high in potassium, contraindicated for a low-potassium diet. They can elevate serum potassium, risking hyperkalemia, making this an incorrect choice for the diet plan.

Choice B reason: White rice is low in potassium, making it suitable for a low-potassium diet. It provides carbohydrates without significantly affecting potassium levels, making it the correct food to include.

Choice C reason: Spinach is high in potassium, inappropriate for a low-potassium diet. Consuming it could exacerbate hyperkalemia, making this incorrect for a patient requiring potassium restriction.

Choice D reason: Potatoes are high in potassium, unsuitable for a low-potassium diet. They increase potassium intake, risking imbalance, making this an incorrect choice for the client’s dietary plan.

A. Low blood pressure B. Cancer C. Diabetes D. Alkalosis E. Infections

Correct Answer is ["C","E"]

Explanation

Choice A reason: Prolonged stress elevates cortisol, increasing blood pressure via vasoconstriction and sodium retention, not lowering it. Low blood pressure is not a typical stress-related condition, making this an incorrect choice for monitoring.

Choice B reason: Cancer risk may increase with chronic stress due to immune suppression, but it is not an immediate condition to monitor. Acute stress-related issues like diabetes or infections are more urgent, making this incorrect.

Choice C reason: Prolonged stress increases cortisol, promoting insulin resistance and hyperglycemia, raising diabetes risk. Monitoring blood glucose is critical, as stress exacerbates glycemic control, making this a correct condition to monitor.

Choice D reason: Alkalosis is not directly linked to prolonged stress, which more commonly causes metabolic acidosis in severe cases (e.g., lactic acidosis). Respiratory or metabolic alkalosis is less relevant, making this incorrect.

Choice E reason: Prolonged stress suppresses immunity via cortisol, increasing infection susceptibility. Monitoring for signs like fever or delayed healing is essential, as infections are a common stress complication, making this correct.

View Question and Answer

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

The nurse is caring for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention would be most appropriate to promote sleep?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for a low-potassium diet. Which of the following foods should be included in the diet plan?

Correct Answer is B

Explanation

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply)

Correct Answer is ["C","E"]

Explanation

A nurse is teaching a client who has a new prescription for warfarin about foods to avoid. Which of the following foods should the nurse include in the teaching?

A nurse is planning care for a client who has returned to the unit following a surgical procedure. The client’s oxygen saturation is 88%. Which of the following actions should the nurse take first?

A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?

A nurse is planning to administer medications to a client who has a nasogastric tube. Which of the following actions should the nurse take?

An 18-year-old male patient informs the nurse that he isn’t sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?

Which of the following interventions is appropriate for preventing needlestick injuries in the workplace? (Select all that apply)

A postoperative patient is hemorrhaging at the surgical site. The surgeon has determined the need to return to the operating room immediately. How will the nurse classify this procedure?

Which statement made by the patient is an indication for the nurse to use the Z-track method?