correct answers
A nurse is developing a plan for a patient who was diagnosed with narcolepsy.
which interventions should the nurse include on the plan? - CORRECT ANSWER--
take brief, 20 minute naps no more than twice a day.
- establish a regular exercise program
- teach the patient about the side effects of modafinil.
which statement made by a patient indicate an understanding of behaviors that will
promote sleep? - CORRECT ANSWER--"i will not watch tv in bed".
- "I will not caffeine later in the day".
- " I will start to exercise regularly during the day."
a 72 year old patient asks the nurse about using an over the counter antihistamine as
a sleeping agent to help her get to sleep. what is the nurses best response? -
CORRECT ANSWER-"Antihistamines should not be used because they can cause
confusion and increase your risk for falls".
which nursing interventions best promotes effective sleep in an older adult? -
CORRECT ANSWER-- limit fluids 2-4 hours before bed.
- ensure that the room temperature in comfortably cool.
- provide warm covers.
which statement made by the patient indicates an understanding of sleep- hygiene
practices? - CORRECT ANSWER-" I usually drink. cup of warm milk in the
evening to help me sleep."
which nursing interventions are appropriate to include in a plan of care to promote
sleep for patients who are hospitalized? - CORRECT ANSWER-- plan vital signs to
be taken before the patient is a sleep
- have patient follow at home bed time schedule
- close the door of the patients room at bedtime.
the nurse is contacting the health care provider about a patients sleep problem. place
the steps in SBAR in the correct order. - CORRECT ANSWER-- "Dr. Smithson, this
is Pam, the nurse caring for Mrs. Dodd. im calling becasue Mrs. Dodd is having
difficult sleeping.
- Mrs. Dodd, 46 year old was admitted 3 days ago following a motor vehicle
NUR 306 Final Exam Questions with correct answers
, accident. she is in balanced skeletal traction for a femur fracture. she is having
difficulty falling asleep.
- Mrs. Dodd is taking her pain medication every 4 hours as ordered and rates her
pain a 2 out of 10. last night she was still awake at 1 am. she states that she is
comfortable but that she just cant fall asleep. her vitals are Bp 124/76, P 78, R 12,
and T 98.8.
- im calling to ask if you would order a hypnotic such as zolpidem to use on a prn
basis.
which statement made by a mother being discharged home with her newborn infant
indicates that she understands the discharge teaching related to best sleep practices. -
CORRECT ANSWER-"well place the baby on her back to sleep".
a nurse is taking a sleep history from a patient. which statement made by the patient
needs further follow up? - CORRECT ANSWER-" it takes me about 45-60 minutes
to fall asleep.
which sleep hygiene actions at bedtime can the nurse delegate to the AP? -
CORRECT ANSWER-_ giving a patient a back rub
- turning on quite music
- dimming the lights in the patients room.
which of the following signs or symptoms in a patient who is opioid-naive is of
greatest concern to the nurse when assessing the patient one hour after administering
an opiod? - CORRECT ANSWER-difficulty arousing the patient
a health care provider writes the following order for a patient who is opioid naive
who returned from operating room following a total hip replacement: Fentanyl patch
100mcg, change every 3 days." on the basis of this order, the nurse takes which
action? - CORRECT ANSWER-calls the health care provider and question the
provider
a patient is being discharged home on an around the clock opioid for postoperative
pain. because of this order the nurse anticipates an additional order for which class
of medication? - CORRECT ANSWER-Stool softners
a new medical resident writes an order for oxycodone CR 10 mg PO q2h prn. which
part of the order does the nurse question? - CORRECT ANSWER-the time interval
the nurse reviews a patients medical administration record and finds that the patient
NUR 306 Final Exam Questions with correct answers