Which data will the nurse categorize as objective for a patient who has just completed an assessment?

The patient’s lung sounds are diminished bilaterally with expiratory wheezes.

The patient worries that the insurance company will not pay the hospital bill.

The patient wonders if supplemental oxygen at home would be beneficial.

The patient felt less short of breath after receiving a nebulizer treatment.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice because the patient’s lung sounds are diminished bilaterally with expiratory wheezes is an example of objective data. Objective data is observable and measurable information that can be verified by the nurse or other health care professionals. The nurse can use a stethoscope to listen to the patient’s lung sounds and document the findings.

Choice B reason: This is an incorrect choice because the patient worries that the insurance company will not pay the hospital bill is an example of subjective data. Subjective data is what the patient tells the nurse about their symptoms, feelings, perceptions, and concerns. The nurse cannot observe or measure the patient’s worry, but can only rely on the patient’s verbal report.

Choice C reason: This is an incorrect choice because the patient wonders if supplemental oxygen at home would be beneficial is an example of subjective data. Subjective data is what the patient tells the nurse about their symptoms, feelings, perceptions, and concerns. The nurse cannot observe or measure the patient’s wonder, but can only rely on the patient’s verbal report.

Choice D reason: This is an incorrect choice because the patient felt less short of breath after receiving a nebulizer treatment is an example of subjective data. Subjective data is what the patient tells the nurse about their symptoms, feelings, perceptions, and concerns. The nurse cannot observe or measure the patient’s feeling, but can only rely on the patient’s verbal report.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice because melatonin is the safest sleep aid for the elderly patient with insomnia. Melatonin is a natural hormone that regulates the sleep-wake cycle. It has few side effects and interactions, and does not cause dependence or withdrawal. Melatonin can improve the quality and duration of sleep, and reduce the time to fall asleep.

Choice B reason: This is an incorrect choice because temazepam is not the safest sleep aid for the elderly patient with insomnia. Temazepam is a benzodiazepine that enhances the activity of GABA, a neurotransmitter that inhibits brain activity. It has many side effects and interactions, and can cause dependence, tolerance, or withdrawal. Temazepam can also impair cognitive and motor functions, and increase the risk of falls, fractures, and delirium.

Choice C reason: This is an incorrect choice because trazodone is not the safest sleep aid for the elderly patient with insomnia. Trazodone is an antidepressant that blocks the reuptake of serotonin, a neurotransmitter that regulates mood and sleep. It has many side effects and interactions, and can cause orthostatic hypotension, cardiac arrhythmias, priapism, or serotonin syndrome. Trazodone can also impair cognitive and motor functions, and increase the risk of falls, fractures, and delirium.

Choice D reason: This is an incorrect choice because triazolam is not the safest sleep aid for the elderly patient with insomnia. Triazolam is a benzodiazepine that enhances the activity of GABA, a neurotransmitter that inhibits brain activity. It has many side effects and interactions, and can cause dependence, tolerance, or withdrawal. Triazolam can also impair cognitive and motor functions, and increase the risk of falls, fractures, and delirium.

A. Provide personal hygiene before bedtime. B. Synchronize the schedule for medications and vital signs. C. Administer sleep aids every night at the same time. D. Assist the patient to use the toilet before bed. E. Straighten and change any soiled bed linens.

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

Explanation

Choice A reason: This is a correct choice because providing personal hygiene before bedtime is an appropriate nursing intervention to promote adequate sleep for a patient who suffers from a sleep pattern disturbance. This intervention can help the patient to feel more comfortable, relaxed, and refreshed, and to reduce the risk of infection or skin breakdown.

Choice B reason: This is a correct choice because synchronizing the schedule for medications and vital signs is an appropriate nursing intervention to promote adequate sleep for a patient who suffers from a sleep pattern disturbance. This intervention can help the patient to have uninterrupted sleep cycles, and to avoid unnecessary disturbances or discomforts from frequent assessments or treatments.

Choice C reason: This is an incorrect choice because administering sleep aids every night at the same time is not an appropriate nursing intervention to promote adequate sleep for a patient who suffers from a sleep pattern disturbance. This intervention can cause dependence, tolerance, or adverse effects from the sleep aids, and may not address the underlying cause of the sleep problem. The nurse should use non-pharmacological methods to promote sleep, and administer sleep aids only as prescribed and indicated.

Choice D reason: This is a correct choice because assisting the patient to use the toilet before bed is an appropriate nursing intervention to promote adequate sleep for a patient who suffers from a sleep pattern disturbance. This intervention can help the patient to avoid nocturia, which is the need to urinate at night, and to prevent urinary tract infections or incontinence.

Choice E reason: This is a correct choice because straightening and changing any soiled bed linens is an appropriate nursing intervention to promote adequate sleep for a patient who suffers from a sleep pattern disturbance. This intervention can help the patient to maintain a clean, dry, and comfortable sleeping environment, and to prevent skin irritation or infection.

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Which data will the nurse categorize as objective for a patient who has just completed an assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the safest sleep aid for the elderly patient with insomnia?

Correct Answer is A

Explanation

To promote adequate sleep for a patient who suffers from a sleep pattern disturbance, what are the most appropriate nursing interventions? (Select all that apply).

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

Explanation

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