BNS (VNSG 1323) CH. 18 "Comfort, Rest and Sleep" NCLEX-STYLE QUESTIONS || with 100% Error-free Solutions.
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BNS CH. 18 \"Comfort, Rest and Sleep\" N
Institution
BNS CH. 18 \"Comfort, Rest And Sleep\" N
.A nurse is caring for a client with intermittent fever. What is the best way for the nurse to maintain the appropriate room temperature for the client?
A) Adjust the thermostat.
B) Open doors and windows.
C) Turn on the fans in the room.
D) Use a humidifier in the room. correct answers A) Ad...
BNS (VNSG 1323) CH. 18 "Comfort, Rest and Sleep"
NCLEX-STYLE QUESTIONS || with 100% Error-free
Solutions.
A nurse is caring for a client with intermittent fever. What is the best way for the nurse to
maintain the appropriate room temperature for the client?
A) Adjust the thermostat.
B) Open doors and windows.
C) Turn on the fans in the room.
D) Use a humidifier in the room. correct answers A) Adjust the thermostat.
The nurse should adjust the room temperature, using the thermostat, to suit the client's condition.
This would increase the client's comfort level. Opening the ventilators and windows is a fire
hazard, and fans are considered a source of spreading infection. Using a humidifier in the room
could be uncomfortable if the client has a fever.
An older adult client with mild hypothermia has been admitted to the health care facility. What
should the nurse do to provide an appropriate environment to an older adult client?
A) Use a bright light at night for safety.
B) Raise the side rails of the bed.
C) Keep an attendant with the client.
D) Ensure that the environment is warmer. correct answers D) Ensure that the environment is
warmer.
Ensuring that the environment is warmer than normal is the most appropriate activity to deal
with hypothermia because older adult clients tend to prefer warmer room temperature because of
decreased subcutaneous fat deposits. Raising the side rails may become a safety hazard in the
case of older adult clients. Keeping an attendant with the client may not be feasible at all times.
Using a bright light at night provides safety but interferes with client's sleep.
A nurse is caring for a client with restless leg syndrome who complains of sleeplessness. Which
nursing diagnosis is most appropriate for this client?
A) Risk for Injury
B) Relocation Stress Syndrome
C) Impaired Bed Mobility
D) Sleep Deprivation correct answers D) Sleep Deprivation
Sleep deprivation is the most appropriate nursing diagnosis for this client because the symptoms
of restless legs syndrome keep the person awake and prevent continuous sleep. Eventually, sleep
deprivation affects the person's life, damaging work productivity and personal relationships.
Relocation Stress Syndrome would not be an appropriate diagnosis because the symptoms are
not due to relocation to a new place. Impaired Bed Mobility is an inappropriate diagnosis
, because the client is not confined to a bed. The client does not have a risk for injury; therefore,
the diagnosis of Risk of Injury would be incorrect.
A nurse provides a back massage to a client before bedtime to promote relaxation. What is the
most important intervention to consider when giving a back massage to a client?
A) Place the client in a comfortable position.
B) Explain the procedure to the client.
C) Omit stimulating strokes on the client.
D) Massage in a circular manner. correct answers C) Omit stimulating strokes on the client.
The nurse should omit stimulating strokes in the client because is may interfere with sleep. As a
part of the procedure, the nurse may explain the procedure to the client and place the client in a
comfortable position. The nurse may or may not use the circular motion to perform the massage
on the client. However, neither of these actions may affect the client's sleep nor stimulate the
client in anyway.
A nurse at the health care facility is caring for an older adult client who complains of
sleeplessness. Which condition is a manifestation of depression in an older client?
A) Somnambulism
B) Nightmares
C) Nocturnal enuresis
D) Insomnia correct answers D) Insomnia
Insomnia and hypersomnia are often manifestations of depression in older clients. Nightmares,
somnambulism (Sleepwalking), and nocturnal enuresis are examples of parasomnias. These are
conditions associated with activities that cause arousal, or partial arousal, usually during
transitions in NREM periods of sleep. However, these are not manifestations of depression in an
older adult client.
During the initial interview at the health care center, the client informs the nurse that for the last
few months he has been experiencing increased sleep. He also notes an increase in his appetite
and craving for sweets, which has led to weight gain. He also notices that these symptoms
decrease when daylight increases. How should the nurse document the client's condition based
on the information provided during the initial interview?
A) Insomnia
B) Seasonal affective disorder
C) Restless legs syndrome
D) Narcolepsy correct answers B) Seasonal affective disorder
Based on the data provided by the client during the interview, the nurse should document the
client's condition as seasonal effective disorder. The nurse should document the condition as
seasonal affective disorder because the client's condition varies with the intensity of light and is
associated with hypersomnolence, increased appetitie, and weight gain. Narcolepsy is
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