Week 6: Final Knowledge Check Comfort

A 3-month-old infant with developmental dysplasia of the hip (DDH) is placed in a Pavlik harness. The home care nurse sees the infant sleeping without the harness. When asked about this, the parent explains that the baby will not sleep with the harness on. How should the nurse respond?

Explain to the parent the importance of wearing the harness continuously.

An 84-year-old widow with dementia who had been living with her daughter before hospitalization is being discharged with a referral to the visiting nurse. When the nurse visits, the client is in bed sleeping at 10:00 am. Her daughter states that she gives her mother sleeping pills to stop her wandering at night. How should the nurse respond?

Explore hiring a home health aide to stay with the client at night.

Which hormone overproduction is associated with carpel tunnel syndrome in clients?

Growth hormone

A nurse teaches the parents of an infant with a cardiac defect about how to decrease the workload of their baby's heart. What should the teaching plan include?

How to organize care to support uninterrupted sleep

The nurse is caring for a preschooler diagnosed as suffering from frequent episodes of sleep terrors. Which statements describing the nature of sleep terrors does the nurse know to be true? Select all that apply.

It usually occurs 1 to 4 hours after falling asleep. The child rapidly returns to sleep after an episode of sleep terrors.

A client is scheduled for a lumbar puncture. What nursing care should be implemented after the procedure?

Maintaining the client in the supine position for several hours

During an assessment interview the client reports overwhelming, irresistible attacks of sleep. Which sleep disorder does the nurse conclude that the client is experiencing?

Narcolepsy

At 10:00 pm a client with a personality disorder is in the lounge playing cards. When the nurse enters, the client requests a sleeping pill. The nurse responds, "First go to bed and try to sleep." What is the nurse's response directed toward?

Setting limits

The nurse instructs parents to avoid placing their infant in a prone position while sleeping. Which risk does the nurse seek to prevent with this instruction?

Sudden infant death syndrome

During a routine 32-week prenatal visit, a client tells the nurse that she has had difficulty sleeping on her back at night. Which guidance should the nurse provide regarding sleeping position?

"Turn from side to side."

A client presents to the healthcare facility with abdominal pain. Which question should the nurse ask the client to obtain information about concomitant symptoms?

"What other discomfort do you experience?"

A nurse educates a mother who complains that her preschool-aged child suffers from bedtime fears and insomnia. Which of these statements should the nurse tell the mother?

"You should comfort the child after he or she experiences a bedtime fear and leave the child in his or her own bed."

A client with terminal cancer is to receive 4 mg of hydromorphone intravenously (IV) every 4 hours as needed for severe breakthrough pain. It is supplied at 10 mg/mL. When the client complains of severe pain, how much solution of hydromorphone should the nurse administer?

0.4

A depressed client on a mental health unit often sleeps past the expected time of awakening and spends excessive time resting and sleeping. Which nursing intervention is appropriate for this client?

Encourage client participation in daily activities.

A woman with bipolar disorder, manic episode, has been spending thousands of dollars on clothing and makeup. She has been partying in bars every night and rarely sleeps or eats. The nurse in the outpatient clinic, knowing that this client rarely eats, recognizes that her eating problems mostlikely result from what?

Excessive physical activity