Which statement is typical of a patient who is newly diagnosed with narcolepsy?
A) "I gradually drift off to sleep during the day."
B) "I sleep well at night."
C) "I have periods where I collapse."
D) "I have daytime sleepiness and fatigue."
D) "I have daytime sleepiness and fatigue."
Explanation: A) Narcolepsy is marked by sudden inappropriate bouts of sleep, not a gradual drift to sleep.
B) People with narcolepsy sleep poorly at night and may complain of insomnia.
C) Cataplexy generally appears within 5 years of the initial symptoms. It can range from a feeling of weakness to complete muscular collapse.
D) Excessive daytime sleepiness and fatigue are the first symptoms of narcolepsy, usually appearing in adolescence.
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A client is admitted to the clinical facility with acute abdominal pain. The physician determines that the client has appendicitis. An appendectomy is scheduled to take place in three hours. While waiting for the surgery, the client reports the pain has subsided. What initial action by the nurse is indicated?
1. Determine when the client can be medicated for pain again. 2. Contact the physician. 3. Contact the surgery department. 4. Notify the nursing supervisor.
Which statement is true regarding schizophrenia?
1. There appears to be a genetic component to schizophrenia. 2. There is not a genetic component to schizophrenia. 3. Schizophrenia is caused by a brain tumor. 4. It is caused by underactive dopaminergic pathways found in the basal nuclei.
The nurse is caring for a patient who developed hemolytic anemia related to the administration of penicillin and asks what this condition is. What is the most appropriate response by the nurse?
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