A 16-year-old client describes falling asleep suddenly three times a day for about 10 minutes. The best action for the nurse to take would be to:

1. Tell the client that the naps are probably normal
2. Assess the teen for alcohol and substance abuse
3. Plan to order some prn stimulant medication
4. Refer the client to a sleep disorder specialist for an immediate appointment


ANS: 4
This is a safety issue and needs to be evaluated as soon as possible. Option 1 is not correct since this is not normal napping behavior. Option 2 is not correct as there are not enough data for sub-stance abuse. Stimulants (option 3) are not used for this disorder.

Nursing

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