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ejones3535 ejones3535
wrote...
Posts: 303
Rep: 0 0
6 years ago
Persons with sleep apnea
 
  A) experience excessive deep sleep.
  B) are often slim and underweight.
  C) have an increased risk for sudden death and stroke.
  D) experience excessive tension in the muscles of the throat and soft palate.

Question 2

The use of psychotropic medications in clients with dementia as a remedy for problems with sleeping
 
  A) is appropriate for chronic sleep problems and has a low risk of side effects.
  B) seldom causes problems of hangover.
  C) should be used only for a short period of time.
  D) increases the amount of REM sleep.

Question 3

An older patient, experiencing severe pain from diabetic neuropathy, is having minimal pain relief from opioid analgesics.
 
  Which adjuvant medications should the nurse ask the healthcare provider to consider helping this patient's pain? Standard Text: Select all that apply. 1. Calcitonin
  2. Muscle relaxants
  3. Topical analgesics
  4. Tricyclic antidepressant
  5. Antianxiety medications

Question 4

An older adult tells the nurse that he keeps waking up during the night. Which of the following statements made by the client is related to a risk factor for disturbed sleep?
 
  A) I take my Zoloft as soon as I get up in the morning.
  B) I walk for half an hour after I eat breakfast.
  C) I limit my coffee intake to one cup of regular in the morning.
  D) I think the arthritis in my hips is getting worse.

Question 5

The nurse learns that an older patient with chronic pain is not a candidate for the nonpharmacological pain management approach of massage. For which health problems is massage contraindicated? Standard Text: Select all that apply.
 
  1. Cancer
  2. Fractures
  3. Bleeding disorders
  4. Low platelet counts
  5. Deep vein thrombosis

Question 6

An older adult woman states that she has difficulty sleeping. The nurse asks the client for a history of her sleep problems. Which of the following instructions might be included in suggestions to improve her sleep?
 
  A) take several daytime naps if you cannot sleep at night
  B) try a glass of wine at bedtime
  C) include 10 minutes of moderately strenuous exercise prior to going to bed
  D) use the bed only for sleep or sex

Question 7

An older patient is prescribed topical capsaicin for joint pain. What should the nurse instruct the patient about the use of this medication? Standard Text: Select all that apply.
 
  1. Avoid getting the medication in the eyes.
  2. This medication will react with other medications.
  3. It will cause a burning sensation when first applied.
  4. Do not permit the medication to touch an open wound.
  5. The burning sensation will decrease with subsequent uses.

Question 8

A client discusses with the nurse her fears of having sleep apnea. Which of the following statements made by the client is suggestive of sleep apnea?
 
  A) My legs jump and feel tingly off and on during the night.
  B) I wake up and feel as if I have been choking.
  C) I have a great deal of difficulty falling asleep every night.
  D) I have to sleep on at least three pillows every night.

Question 9

The nurse is planning to implement nonpharmacological approaches with an older patient with chronic osteoarthritis pain. What should the nurse keep in mind when implementing these approaches?
 
  1. The effectiveness of nonpharmacological approaches is questionable.
  2. Nonpharmacological approaches are less effective in the older patient.
  3. Nonpharmacological approaches are more effective in the older patient.
  4. Nonpharmacological approaches are effective when used with pharmacological therapy.
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2 Replies

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Replies
wrote...
6 years ago
Answer to #1

C

Answer to #2

C

Answer to #3

3,4
Rationale: Calcitonin is helpful to assist with bone pain. It is not indicated to help with the pain of diabetic neuropathy.

Answer to #4

D

Answer to #5

2,3,4,5
Rationale: Massage is generally safe in people with cancer, but the oncologist should be consulted.

Answer to #6

D

Answer to #7

1,3,4,5
Rationale: The patient should be instructed to avoid getting capsaicin in the eyes as this will cause burning.

Answer to #8

B

Answer to #9

4
Rationale: Nonpharmacological approaches are more effective when used with pharmacological therapy. Their effectiveness is not questionable by the choice to use them depends upon the patient's beliefs and willingness to use them.
ejones3535 Author
wrote...
6 years ago
This calls for a celebration Person Raising Both Hands in Celebration
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