Essential Nursing Insights: Range-of-Motion and Sleep Patterns
School
Kenya Medical Training Centre (KMTC)**We aren't endorsed by this school
Course
MEDICINE A 100Q
Subject
Nursing
Date
Dec 12, 2024
Pages
5
Uploaded by KidTankAntelope33
c.The support of the body should be the hands and arms. d.Walk fast and use long steps when using the crutches. CORRECT: C POINTS: 1 30.A nurse is BELOW a plan of care for passive range-of-motion (ROM) exercises. What specifics will be included on the plan? a.Ask the client to demonstrate ROM at 9 a.m. each day. b.Do ROM exercises two times a day, each exercise two to five times. c.Request family be available twice a day to perform ROM. d.Move each joint until the client complains of pain. CORRECT: B POINTS: 1 MULTIPLE RESPONSE 31.A nurse performing range-of-motion exercises on a bedfast client moves the clients chin down onto the chest and then back to an upright position. The nurse then tilts the head as far as possible to each shoulder. What therapeutic movement is the nurse achieving with this exercise? (Select all that apply). a.flexion b.adduction c.extension d.dorsiflexion e.pronation f.abduction WWW.TBSM.WS CORRECT: A, C POINTS: 1 32.Which of the BELOW activities are normally acquired in the toddler years? (Select all that apply) a.rolling over b.pulling to a standing position c.walking d.running e.jumping f.climbing stairs CORRECT: C, D, E POINTS: 1 W W W . T B S M . W S
Chapter 35: Rest and Sleep QUIZ 1.Which of the BELOW groups of terms best describes sleep? a.decreased state of activity, refreshed b.altered consciousness, relative inactivity c.comatose, immobility d.alert, responsive CORRECT: B POINTS: 1 2.An individual awakens from a sound sleep in the middle of the night because of abdominal pain. Why does this happen? a.stimuli from peripheral organs to the RAS b.stimuli to the wake center in the cerebral cortex c.messages from chemoreceptors to the brain d.messages from baroreceptors to the spinal cord CORRECT: A POINTS: 1 3.A nurse is caring for a client who is sleeping for abnormally long periods of time. This condition may be caused by injury to which of the BELOW body structures? a.spinal cord b.pancreas c.hypothalamus d.thyroid WWW.TBSM.WS CORRECT: C POINTS: 1 4.What name is given to the rhythmic biologic clock that exists in humans? a.sleep-wake cycle b.alert-unaware process c.circadian rhythm d.yo-yo theory CORRECT: C POINTS: 1 5.A nurse working the night shift assesses a clients vital signs at 4 a.m. (0340). What would be the expected findings, based on knowledge of NREM sleep? a.decreased TPR and BP b.increased TPR and BP c.no change from daytime readings d.highly individualized, cannot predict CORRECT: A POINTS: 1 6.A nurse teaches a young couple to put their newborn on his back to sleep. What is the rationale for this information? a.prone position increases the risk for sudden newborn death syndrome W W W . T B S M . W S
b.prone position decreases the risk for sudden newborn death syndrome c.supine position may alter the size and shape of the newborns head d.supine position makes changing diapers and feeding difficult CORRECT: A POINTS: 1 7.A nurse teaches the parents of a toddler about normal sleep patterns for this age group. How many hours of sleep per night is normal near the end of this stage? a.7 8 hours b.8 10 hours c.10 12 hours d.12 15 hours CORRECT: B POINTS: 1 8.Based on the circadian cycle, the body prepares for sleep at night by decreasing the body temperature and releasing which of the BELOW chemicals? a.neonephrine b.seratonin c.melatonin d.dopamine CORRECT: C POINTS: 1 9.A middle-aged adult man has just started an exercise program. What would the nurse teach him about timing of exercise and sleep? a.exercise immediately before bedtime enhances ability to sleep b.exercisewithin2hoursofbWeWdtWim.eTcBanSMhi.ndWeSrabilitytosleepc.the time of day does not matter; exercise facilitates sleep d.the fatigue from exercise may be a hindrance to sleep CORRECT: B POINTS: 1 10.A nurse is discussing sleep problems with a client. What type of foods would she recommend to promote sleep? a.one cup of hot chocolate b.three glasses of red wine c.a high-protein snack d.a carbohydrate snack CORRECT: DPOINTS: 1 11.A client who previously was a smoker has recently stopped smoking but reports having a lot of trouble sleeping at night. How would the nurse respond? a.You have to decide what is more important: smoking or sleep. b.If you are sleep deprived, it might be better to smoke. c.Sleep problems from stopping smoking are temporary. d.Since you were a smoker, this will always be a problem. CORRECT: C POINTS: 1 12.Which of the BELOW medications is least likely to affect sleep quality? W W W . T B S M . W S
a.diuretic b.steroid c.antidepressant d.Ambien CORRECT: D POINTS: 1 13.Which of the BELOW individuals is likely to require more hours of sleep? a.a 75 year old b.a 43 year old c.a 25 year old d.a 15 year old CORRECT: D POINTS: 1 14.A clients bed partner reports the client often has irregular snoring and silence followed by a snort. Does this warrant further assessment? a.no, snoring has varied patterns b.no, this is a description of normal snoring c.yes, this is an indicator of obstructive apnea d.yes, the bed partner is unable to sleep at night CORRECT: C POINTS: 1 15.Which of the BELOW is the most common sleep disorder? a.hypersomnia b.parasomnia c.insomnia d.dyssomnia WWW.TBSM.WS CORRECT: C POINTS: 1 16.A client who has a sleep disorder is trying stimulus control to improve amount and quality of sleep. What is recommended in this type of therapy? a.use the bedroom for sleep and sex only b.use the bedroom for reading and eating c.go to bed at the same time every night d.sleep alone with minimal coverings CORRECT: A POINTS: 1 17.A client is diagnosed with narcolepsy. Which of the BELOW is a characteristic of this disorder? a.waking during sleep b.restless leg syndrome c.uncontrollable desire to sleep d.decrease in the amount or quality of sleep CORRECT: C POINTS: 1 18.A nurse assessing a client with a sleep disorder documents cataplexy as a finding. Which of the BELOW is a feature of this condition? W W W . T B S M . W S
a.irresistible urge to sleep, regardless of the type of activity in which the client is engaged b.sudden loss of motor tone that may cause the person to fall asleep; usually experienced during a period of strong emotion c.nightmare or vivid hallucinations experienced during sleep time d.skeletal paralysis that occurs during the transition from wakefulness to sleep CORRECT: B POINTS: 1 19.What is the rationale for using CPAP to treat sleep apnea? a.positive air pressure holds the airway open b.negative air pressure holds the airway closed c.delivery of oxygen facilitates respiratory effort d.alternating waves of air stimulate breathing CORRECT: A POINTS: 1 20.The parents of a 10-year-old son are worried about his sleepwalking (somnambulism). What topic should the nurse discuss with the parents? a.sleep deprivation b.privacy c.schoolwork d.safety CORRECT: D POINTS: 1 21.A client has been instructed to increase fluid intake but as a result has lost sleep to get up to void several times a night.WWhWatWc.anTBthSeMnu.rWseSre c om m e n dtodecreasetheinterruptionof sleep? a.Drink most of the liquids during the night. b.Drink most of the liquids before 5 p.m. c.Try drinking coffee instead of water. d.Drink the total amount of liquids before noon. CORRECT: B POINTS: 1 22.What independent medic action can be used to facilitate sleep in hospitalized clients who are on bedrest? a.administering prescribed sleep medications b.changing the bed with fresh linens c.encouraging naps during the daytime d.giving a back massage CORRECT: DPOINTS: 1 23.A sedative-hypnotic has been prescribed to help a client sleep. What should the nurse teach the client about this medication? a.it should be taken every night for several months b.it is useful for sleep but is better taken with alcohol c.it loses its effectiveness after 1 or 2 weeks d.it should be taken in the morning for long-term effects W W W . T B S M . W S