Which of the following is an appropriate recommendation for client education regarding narcolepsy?
Consume large meals high in carbohydrates to provide energy throughout the day.
Exercise regularly to maintain overall health and manage symptoms.
Engage in activities that increase sleepiness, such as sitting for long periods or being in warm environments, to promote relaxation.
Avoid taking naps during the day to establish a regular sleep-wake schedule.
The Correct Answer is B
A. Consuming large meals high in carbohydrates is not recommended for managing narcolepsy. Large meals, especially those high in carbohydrates, can lead to drowsiness and exacerbate daytime sleepiness, which is already a significant concern in narcolepsy. Instead, smaller, balanced meals are typically advised to avoid large fluctuations in blood sugar levels and excessive sleepiness.
B. Exercise regularly is an appropriate recommendation. Regular physical activity can help improve overall health, mood, and sleep patterns. For individuals with narcolepsy, exercise can also help manage excessive daytime sleepiness and improve alertness. However, it is important to avoid exercising too close to bedtime, as it can interfere with nighttime sleep.
C. Engaging in activities that increase sleepiness is not recommended. Sitting for long periods or being in warm environments can exacerbate daytime sleepiness and make it harder to stay awake. People with narcolepsy should avoid these situations and instead focus on strategies that help them stay alert and manage their sleepiness effectively.
D. Avoiding naps is generally not advised for individuals with narcolepsy. Controlled, planned naps can help manage excessive daytime sleepiness and improve overall function. Instead of avoiding naps, the focus should be on managing nap times effectively to help mitigate the symptoms of narcolepsy and maintain a regular sleep-wake schedule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. H2RAs are not typically associated with causing or alleviating diarrhea. Their primary function is to reduce gastric acid secretion, which is not directly related to diarrhea. Therefore, cessation of diarrhea is not an indicator of the therapeutic effect of an H2RA.
B. Heartburn is a common symptom associated with excess stomach acid, often due to conditions like GERD. H2RAs work by decreasing the amount of acid produced in the stomach, which helps relieve heartburn. Therefore, relief of heartburn is a direct indication that the H2RA is achieving its therapeutic effect.
C. Constipation is not a common effect of H2RAs; instead, it is often more related to other types of medications or dietary issues. Since H2RAs are designed to reduce stomach acid and not to affect bowel movements, the absence of constipation is not a relevant outcome for assessing the effectiveness of an H2RA.
D. Flatus, or gas, is not directly affected by H2RAs. The primary purpose of H2RAs is to manage acid- related conditions, and while gastrointestinal symptoms might be related, passage of flatus is not a specific indicator of the effectiveness of an H2RA.
Correct Answer is A
Explanation
A. For effective breastfeeding, the baby should latch onto not just the nipple but also a significant portion of the areola and some breast tissue beyond it. This helps ensure that the baby gets a good latch, which promotes better milk transfer and reduces nipple pain for the mother.
B. While babies have some instinctual feeding behaviors, a proper latch typically requires guidance and assistance from the mother or nurse. Newborns often need help to achieve a deep latch that includes both the nipple and areola. Relying solely on the baby's instinct may lead to an ineffective latch and potential issues with breastfeeding.
C. While it's important for the baby to take some of the areola into their mouth, for the best latch, the baby should take in a larger portion of the areola and breast tissue. Simply placing the nipple and some of the areola may not be sufficient for a deep and effective latch.
D. Although newborns have small mouths, a proper latch should still involve the nipple and a good portion of the areola. Assuming that the baby will only take part of the nipple can lead to improper latching and potential breastfeeding difficulties.
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