When a client is deprived of sleep, the nurse might assess which ...

[laurencescou]

When a client is deprived of sleep, the nurse might assess which of the following symptoms?
 
  a. Elevated blood pressure
  b. Confusion and irritability
  c. Inappropriateness and rapid respirations
  d. Decreased temperature and talkativeness

Question 2

A client has just gotten out of bed to go to the bathroom. As the nurse enters the room, the client states, I feel dizzy. Which of the following actions should the nurse take first?
 
  a. Go for help.
  b. Take the client's blood pressure.
  c. Assist the client to sit or lie down.
  d. Tell the client to take deep breaths.

[Ddddd]

Answer to Question 1

B
Psychological symptoms of sleep deprivation include confusion and irritability.
Elevated blood pressure is not a symptom of sleep deprivation.
Rapid respirations are not a symptom of sleep deprivation. A decreased ability of reasoning and judgement could lead to inappropriateness.
Decreased temperature is not a symptom of sleep deprivation. The client with sleep deprivation is often withdrawn, not talkative.

Answer to Question 2

C
The nurse's primary concern should be the client's safety and preventing a fall. If the client just got up from bed and is complaining of dizziness, the client may be experiencing orthostatic hy-potension. The nurse should first assist the client to sit or lie down before performing any other assessment.
The nurse should not leave the client and go for help. The nurse should help the client sit or lie down. If help is required, the nurse can then put on the client's call light.
The nurse may take the client's blood pressure after assisting the client to a sitting position to prevent the client from falling.
The nurse should first assist the client to sit down to prevent the client from falling. The nurse may then assess the client. If the nurse finds during the assessment that the client's result from pulse oximetry is low, the nurse may instruct the client to take deep breaths.