The nurse is completing a sleep assessment on a patient. Which tool will the nurse use to complete the assessment?

a. Visual analog scale
b. Cataplexy scale
c. Polysomnogram
d. RAS scale


ANS: A
The visual analog scale is utilized for assessing sleep quality. Cataplexy, or sudden muscle weakness during intense emotions such as anger, sadness, or laughter, occurs at any time during the day; there is no cataplexy scale for sleep assessment. A polysomnogram involves the use of EEG, EMG, and EOG to monitor stages of sleep and wakefulness during nighttime sleep; this is used in a sleep laboratory study. Researchers believe that the ascending reticular activating system (RAS) located in the upper brainstem contains special cells that maintain alertness and wakefulness; however, there is no assessment tool called the RAS scale.

Nursing

You might also like to view...

The nurse carefully measures drainage during the first 24 hours after surgery on a patient with a Jackson-Pratt drain. It is considered abnormal if the drainage exceeds:

a. 50 mL. b. 100 mL. c. 200 mL. d. 300 mL.

Nursing

The nurse is caring for a patient who is morbidly obese and who has been diagnosed with somatic symptom disorder. The patient history reveals that the patient's mother suffered from alcohol use disorder. Which domain does the nurse recognize as the most useful in explaining the patient's condition?

1. Cultural domain 2. Spiritual domain 3. Biological domain 4. Psychological domain

Nursing

Which of the following is the first step in the nursing research process?

a. Data collection b. Refining an abstract idea c. Literature review d. Statistical analysis

Nursing

A client has been admitted with a gastrointestinal ulcer. The client is NPO and has a nasogastric tube in place connected to low suction. What form of shock should the nurse monitor this client for?

A. Distributive shock B. Obstructive shock C. Cardiogenic shock D. Hypovolemic shock

Nursing