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 C

Explanation

Choice A rationale:
Increasing pain over several hours is not a typical sign of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose symptoms often involve respiratory depression, altered mental status, and other serious issues. While it is possible for a patient to experience increased pain if the fentanyl patch is not providing adequate pain relief, this is not a specific sign of overdose.
Choice B rationale:
An itchy red rash on the skin is not a sign of a fentanyl patch overdose but can be associated with skin irritation or allergies to the adhesive in the patch. It's important to differentiate between a skin reaction and an overdose when evaluating patients using fentanyl patches. Overdose symptoms are more severe and life-threatening.
Choice C rationale:
Confusion and the inability to walk normally are characteristic signs of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose can lead to central nervous system depression, resulting in confusion, altered mental status, and difficulty with coordination and walking. These symptoms are serious and require immediate medical attention.
Choice D rationale:
Headache and nausea are not specific signs of a fentanyl patch overdose. While opioid overdose can cause various symptoms, such as respiratory depression and altered mental status, headache and nausea are not among the primary indicators. However, individual responses to medications can vary, and some patients may experience these symptoms as part of a broader set of overdose signs.

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

Signs of fentanyl patch overdose are:.

Correct Answer is C

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

An adult male with a right below the knee amputation is complaining of sharp pain in the removed limb.What is the best response from the nurse?

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

IM injections of pain medication may be contraindicated for patients who:.

Kathy is working in a mother-baby unit. Which pain scale is used to determine if the baby is in pain?

The nurse attempts to help an 86-year-old patient describe his pain because the nurse is aware the older adult may not express pain because they:.

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

A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:.

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:.