Exam 3 EAQ's

A client reports overwhelming and irresistible attacks of sleep. Which sleep disorder is she or he describing? 1 Insomnia 2 Narcolepsy 3 Sleep terror 4 Sleep apnea

2

A newborn receiving medication therapy for an infection has developed jaundice. The newborn has poor sucking and extreme sleepiness. Which medication would the nurse suspect as responsible for the newborn's condition? 1 Tetracycline 2 Sulfonamide 3 Phenothiazine 4 Chloramphenicol

2

Which age-related skin change occurs in older adult clients and increases their potential for developing pressure ulcers? 1 Atrophy of the sweat glands 2 Decreased subcutaneous fat 3 Stiffening of the collagen fibers 4 Degeneration of the elastic fibers

2

Which clinical manifestation is associated with hypernatremia in burns? 1 Fatigue 2 Seizures 3 Paresthesias 4 Cardiac dysrhythmias

2

Which structure is removed during circumcision? 1 Glans 2 Prepuce 3 Epididymis 4 Vas deferens

2

Which are physiologic symptoms assessed in a client with sleep deprivation? Select all that apply. One, some, or all responses may be correct. 1 Ptosis and blurred vision 2 Agitation and hyperactivity 3 Confusion and disorientation 4 Increased sensitivity to pain 5 Decreased auditory alertness

1 & 5

Which medication can be administered via the intramuscular route to treat anaphylaxis? 1 Epinephrine 2 Methdilazine 3 Phenylephrine 4 Mycophenolate mofetil

1

How long should a toddler sleep each day? 1 8 hours 2 9 to 10 hours 3 11 to 12 hours 4 13 to 14 hours

3

How much sleep should a preschooler get each day? 1 8 hours 2 10 hours 3 12 hours 4 14 hours

3

Which benign tumor forms on the surface of the client's epithelium? 1 Fibroma 2 Adenoma 3 Papilloma 4 Chondroma

3

Which change would the nurse expect when a child transitions from toddlerhood to the stage of preschooler? 1 Begins sleeping soundly at night 2 Naps frequently during the day 3 Develops later bedtime 4 Sleeps less, about 9 hours each night

3

A client reports disturbed sleep due to allergic pruritus. Which medication would help the client sleep and treat the allergic symptoms? 1 Cetirizine 2 Fexofenadine 3 Desloratadine 4 Chlorpheniramine

4

During a home visit to a client, the nurse identifies tremors of the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Which additional assessment would the nurse report immediately to the health care provider? 1 Increased appetite 2 Recent weight loss 3 Feelings of warmth 4 Fluttering in the chest

4

How are toddlers different from children of other age groups? 1 Toddlers grow more rapidly than infants do. 2 Toddlers need more calories than infants do. 3 Toddlers have fewer febrile seizures than preschoolers do. 4 Toddlers sleep more during the daytime than preschoolers do.

4

Which type of skin lesion has a wavy border? 1 Annular 2 Circinate 3 Coalesced 4 Serpiginous

4 A lesion with a wavy border indicates a serpiginous lesion. A lesion that is ringlike with raised borders around a flat, clear center indicates an annular lesion. A circular lesion indicates a circinate lesion. A lesion that merges with another and appears confluent indicates a coalesced lesion.

Which functional level of trauma center is involved in providing a full continuum of trauma services? 1 Level I 2 Level II 3 Level III 4 Level IV

1

A client was admitted with full-thickness burns 2 weeks ago. Since admission, the client has lost an average of 1 lb (0.5 kg) of weight each day. Which dietary adjustment would the nurse recommend? 1 Increase low-sodium milk intake. 2 Provide high-protein drinks. 3 Increase foods that are low in potassium. 4 Provide 10% more calories in the form of fats.

2

Which medication is associated with sedation as a side effect? Select all that apply. One, some, or all responses may be correct. 1 Doxepin 2 Zaleplon 3 Suvorexant 4 Nefazodone 5 Mirtazapine 6 Clonazepam

1 2 3 4 5 6

Which disorder does the image illustrate? 1 Angioedema 2 Oral candidiasis 3 Systemic sclerosis 4 Systemic lupus erythematosus

4

Which factor would the nurse identify as likely related to the sleeplessness of a schizophrenic client who was transferred from a private room to a room with a roommate 3 days ago? 1 Fear of the other client 2 Concern about family at home 3 Watching for an opportunity to escape 4 Trying to work out emotional problems

1

Which is true regarding a toddler's sleep? 1 Total sleep averages 12 hours a day. 2 In the awake period, a toddler exhibits sleepwalking. 3 A toddler normally takes several naps during the day. 4 It is uncommon for toddlers to awaken during the night.

1

A chronically ill, older client lives with their daughter. The client reports the daughter, who has three small children, seems run-down, coughs a lot, and sleeps all the time. Which statement supports the need for the nurse to pursue the daughter's condition as a potential case finding? 1 Tuberculosis has been rising dramatically in the general population. 2 Older adults with chronic illness are more susceptible to tuberculosis. 3 There is a high incidence of tuberculosis in children less than 12 years of age. 4 Death from tuberculosis has been decreasing in the United States and Canada.

2

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. When interviewing the client, the nurse identifies that the medication has been effective when the client makes which statement? 1 "I have less pain." 2 "I have been sleeping better." 3 "My blood glucose is under control." 4 "My blood pressure is coming down."

2

A client with erythematous papules in the interdigital spaces reports severe itching at night. Which insect is responsible for this condition? 1 Phthirus pubis 2 Sarcoptes scabiei 3 Pediculus humanus 4 Borrelia burgdorferi

2

Which description describes a coalesced type of skin lesion configuration? 1 Lesions are well defined with sharp borders. 2 Lesions merge together and appear confluent. 3 Lesions are ringlike around flat centers of skin. 4 Lesions have wavy borders that resemble a snake.

2

Which sleep pattern would the nurse recognize as normal in preschoolers? 1 Daytime naps are very common among preschoolers. 2 On average, a preschooler sleeps about 12 hours a night. 3 Partial awakening leading to sleeplessness is common among preschoolers. 4 About 30% of sleep time in preschoolers is spent in non-rapid eye movement sleep (NREM).

2

The nurse is instructing the parents of a 6-month-old infant about sleeping patterns and the best sleeping positions for their child. Which instruction regarding sleep position is most important? 1 "Place the infant in a supine position for sleep." 2 "Avoid positioning the head on alternating sides." 3 "A prone position is more beneficial for sleeping." 4 "If the infant is restless, place it on one side to sleep."

1

A client arrives at the emergency department after being bitten by a dog. The bite involved tearing of skin and deep soft tissue injury. Which action would the nurse take first? 1 Inform the owner of the dog about the client's injury. 2 Assess the client's injury, vital signs, and past history. 3 Obtain a prescription for human rabies immune globulin. 4 Notify the appropriate community agency to capture the dog.

2