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A nurse is instructing a young adult client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

"I watch television until I fall asleep at night."

A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?

Decreased energy

The nurse has asked his client to grasp his overbed trapeze and pull his torso up off the surface of the bed. What movement will the client perform with his arms?

Flexion

Which is the most important principle of body mechanics when the nurse is repositioning a client?

Maintaining functional alignment.

A nurse is teaching a newly licensed nurse about maintaining correct posture when transferring clients. Which of the following statements should the nurse make?

"Keep your back straight."

When assisting a patient who recently had an above the knee amputation to transfer into a chair, the patient starts to cry and says, "I am useless with only one leg. "What is the nurses best response?

"Losing a leg can be very difficult"

A nurse is preparing to perform a cranial nerve examination on a client. Which of the following actions should the nurse take to check cranial nerve XII?

Ask the client to stick out their tongue and observe if it is midline.

A nurse is teaching a client about the sleep-wake cycle. The nurse should include which of the following factors can interfere with the sleep-wake cycle?

Bright light, emotional stress, drinking caffeine drinks

A nurse is caring for a client who has a hearing impairment. Which of the following interventions should the nurse use when speaking with the client?

Face the client when speaking

A nurse is preparing to perform a cranial nerve examination on a client. Which of the following actions should the nurse take to check cranial nerve I?

Have the client identify specific smells.

A nurse is teaching a client about tactile testing. Which of the following client statements indicates an understanding of the teaching?

I will be asked to identify different sensations, such as sharp or dull.*

A nurse is preparing to perform a cranial nerve examination on a client. Which of the following actions should the nurse take to check cranial nerve VII?

Observe for facial symmetry while the client smiles.

A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

Observe for the ability of the client to turn their head side to side.

A nurse is performing a neurological assessment for a client has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve Ill?

Observe the client's ability to smile and frown.

A young adult woman has had orthopedic surgery on her right knee. The first time she gets out of bed, she describes weakness, dizziness, and feeling faint. The nurse correctly recognizes that which of the following conditions is likely affecting the client?

Orthostatic hypotension

A 65-year-old woman suffers from a condition where bone destruction exceeds bone formation, and in which the resultant thin, porous bones fracture easily. This client is most likely diagnosed with:

Osteoporosis

The patient was recently diagnosed with sleep apnea and asks the nurse why the CPAP device is important. Which response by the nurse is correct?

Positive air pressure holds the airway open.

The parents of a boy 10 years of age are worried about his sleepwalking (somnambulism). What topic should the nurse discuss with the parents?

Safety

A nurse is teaching a class about the stages of sleep. The nurse should explain that vivid dreaming occurs during which of the following stages of sleep?

Stage 4

The nurse is teaching a client with right-sided weakness related to a stroke about how to properly ambulate with a cane. Which client action would indicate a need for further teaching?

The client holds the cane on the right side of the body.

A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse Identify as a risk to the client's safety?

The client stands in a tripod position prior to walking

A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates an understanding of body mechanics?

They stand close to the object being moved.

Nurses understand that passive range-of-motion exercises are performed to

prevent loss of mobility