A 52-year-old male enters a sleep study to gather information about his sleep disturbances. He reports that his wife will not let him sleep in the bed with her until he stops snoring so loudly. He also reports feeling tired a lot through the day
When the nurse checks the chart, what is the most likely diagnosis?
a. Insomnia
b. Obstructive sleep apnea syndrome (OSAS)
c. Somnambulism
d. Jet-lag syndrome
ANS: B
OSAS generally results from upper airway obstruction recurring during sleep with excessive snoring and multiple apneic episodes that last 10 seconds or longer. Insomnia is the inability to fall or stay asleep and may be mild, moderate, or severe. It does not involve snoring. Somnambu-lism is sleep-walking. Jet-lag syndrome is a disorder of waking and sleeping and does not involve snoring.
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A condition of debility, loss of strength and energy, and depleted vitality is known as _________________
ANS:
After a client's hysterectomy for removal of a leiomyoma, the nurse formulates the nursing diagnosis of Constipation related to bowel manipulation during surgery. The best measure that the nurse would take to prevent constipation is
a. administer a soapsuds enema to the client. b. encourage early and frequent ambulation. c. offer the client iced beverages. d. reduce fiber in the client's diet.
Nitrogen balance in specific groups of people can be a concern. What is the state of nitrogen balance in infants, children, adolescents, and pregnant and lactating women?
A) Neutral nitrogen balance C) Negative nitrogen balance B) Positive nitrogen balance D) Metabolic turnover
The client's oral temperature is 37.1° C. Which should the nurse implement?
1. Administer acetaminophen 650 mg. 2. Offer the client an additional blanket. 3. Report that the client is normotensive. 4. Compare this with the client's baseline.