The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.
To try to alleviate the problem, the nurse counsels her to try:.

sleep with the window open for fresh air.

perform some sort of exercise at bedtime.

having a couple of drinks at bedtime.

to wear soft earplugs for sleep.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Sleeping with the window open for fresh air may not be the best solution in this scenario. While fresh air can be beneficial for sleep, it might not effectively block out the noise from the freeway and the nearby apartment complex. Furthermore, depending on the climate and location, having the window open might lead to discomfort or temperature-related issues.

Choice B rationale:

Performing exercise at bedtime is not a recommended solution for someone experiencing difficulty sleeping due to external noise. Exercise before bedtime can increase alertness and make it even more challenging to fall asleep, especially if it's vigorous exercise. It may exacerbate the problem rather than alleviate it.

Choice C rationale:

Having a couple of drinks at bedtime is not a suitable solution for sleep problems. Alcohol can disrupt sleep patterns and lead to poor-quality sleep. It may help the patient fall asleep initially but can lead to frequent awakenings and a less restful night's sleep.

Choice D rationale:

The correct choice is to wear soft earplugs for sleep. Soft earplugs can effectively reduce or block out external noise, providing a quieter sleep environment. This is a practical and safe solution to address the noise issue in the patient's apartment complex. It promotes better sleep quality without any negative side effects.

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Correct Answer is B

Explanation

Choice A rationale:

This statement is not accurate and may confuse the client. In a Patient-Controlled Analgesia (PCA) system, a predetermined dose is delivered when the patient activates the device. The dose is usually controlled to prevent excessive medication administration.

Choice B rationale:

This statement is correct. The essence of PCA is that the patient has control over administering their pain medication within set limits or time intervals. The patient can self-administer doses when needed, ensuring effective pain management.

Choice C rationale:

Allowing the partner to push the PCA button for the patient is not recommended. PCA systems are designed to be controlled by the patient themselves to prevent potential overdosing. Involving someone else in the administration can lead to safety concerns.

Choice D rationale:

PCA systems do not deliver medication into the muscle. They typically deliver medication intravenously (IV) or subcutaneously. This statement is inaccurate and could lead to misconceptions about how the PCA system works.

A. The CPAP device should fit loosely on the face. B. The CPAP device delivers less pressure during exhalation than inhalation. C. The CPAP device requires an invasive ventilation tube. D. The CPAP device should be placed over the nose.

Correct Answer is D

Explanation

Choice A rationale:
The CPAP device should not fit loosely on the face. It should fit snugly to create a proper seal and maintain positive airway pressure. A loose-fitting CPAP mask may not effectively treat obstructive sleep apnea (OSA).
Choice B rationale:
The CPAP device typically delivers consistent pressure throughout both inhalation and exhalation. It does not deliver less pressure during exhalation. The purpose of CPAP is to maintain a constant pressure to keep the airway open during both phases of the respiratory cycle.
Choice C rationale:
The CPAP device does not require an invasive ventilation tube. It uses a mask that covers the nose or both the nose and mouth to deliver positive airway pressure. It is non-invasive and is designed to keep the airway open by delivering pressurized air.

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The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management.Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

Medication such as sedatives and hypnotics are sometimes prescribed to promote sleep. These can be used for long-term relief.

A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.).

The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:.

A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?

The nurse takes into consideration the Joint Commission on Accreditation of Healthcare Organizations (CAHO) standards for pain assessment and treatment. Include:.

A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route.It is most important to monitor this patient for which adverse drug effects?

The nurse performing a focused assessment on pain will assess: (Select all that apply.).

The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.
To try to alleviate the problem, the nurse counsels her to try:.