Exam 3: Comfort

The nurse is assessing a client for a sleep-rest disorder.Which client behavior is most indicative of such a disorder?

Which of the following is a pharmacologic therapy for acute pain?

The nurse is conducting a clinic visit with a mother and an adolescent client.Both the mother and the adolescent report that the adolescent is not able to sleep until late at night and then wakes up too late in the morning.This has caused the adolescent to be late for school several times.The mother states,"I don't know what to do." Which response by the nurse is the most appropriate?

An adult female client is diagnosed with chronic fatigue syndrome.What statement best accompanies the diagnosis?

A competent older adult client has a living will that expresses the client's desire to avoid resuscitation and heroic life support measures.The family members are not supportive of this directive and plan to contest the living will.Which nursing action is the most appropriate?

Which is a characteristic of fibromyalgia?

What most determines the effectiveness of pharmacologic therapy for fatigue?

What primarily differentiates lack of sleep due to a sleep disorder from lack of sleep due to another developing condition?

During a home visit,the family of a client with fibromyalgia asks the nurse what they can do to help the client with painful episodes.What should the nurse suggest to the client and family?

An 8-year-old female client complains of chronic fatigue that has persisted for several months despite an adequate amount of sleep each night.The nurse plans the care based on a nursing diagnosis of Fatigue.What intervention is the nurse most likely to try first?

What is an example of chronic pain?

A client with clinical depression asks the nurse for suggestions on how to improve the quality of sleep.The client often drinks a glass of wine before bedtime to help sleep.The client falls asleep quickly but then wakes up an hour or so later and often feels anxious.A period of wakefulness follows,often lasting several hours.Which of the following planning goals would be least appropriate for this client?

The nurse is caring for a pediatric client with a surgical wound.The wound is red with purulent drainage and is causing discomfort for the client.Which diagnostic test will determine if the discomfort of the wound is caused by an infection?

Which of the following statements best describes the therapeutic approach to acute and chronic pain,fatigue,fibromyalgia,and sleep disorders?

A client who has been undergoing treatment for chronic back pain has been considering various over-the-counter nonopioids to manage the pain.The nurse has assessed the client's needs and discussed the use of available methods with the client.Which client statement indicates the need for further instruction?

A 15-year-old female client diagnosed with juvenile primary fibromyalgia syndrome asks the nurse whether the fibromyalgia can be cured so that she won't have to deal with it as an adult.Which of the following is the best response the nurse could make to this question?

The parents of a child with terminal cancer ask the nurse that the child not be told that he will not recover.The nurse anticipates that the child might ask the nurse if he is dying.What would be most appropriate for the nurse to do?

What is a lifestyle risk factor for fatigue?

The son of a client with fibromyalgia asks the nurse if he will also experience the health problem.Which responses by the nurse are appropriate for this situation? Select all that apply.

A resident in an assisted-living facility is restless most nights and sits in the lounge area reading.When questioned,the resident reports suffering from insomnia.What should the nurse expect as a likely outcome if the resident continues with this pattern of sleep?