A client complains of not being able to stay awake during the day ...

[bobthebuilder]

A client complains of not being able to stay awake during the day even after sleeping throughout the night. What should the nurse suggestion to this client?
 
  1. Go to your physician for a physical examination.
  2. Go to a mental health professional for evaluation of possible depression.
  3. Purchase an over-the-counter sleep aid to deepen nighttime sleep.
  4. Drink more caffeinated beverages in the daytime to stay awake.

Question 2

The mother of a newborn tells the nurse, I am concerned about my baby. When she first goes to sleep, her eyes dart around under her eyelids, she doesn't breathe regularly, and she sometimes twitches. What advice should the nurse give this moth
 
  1. Please bring your baby in immediately for a checkup.
  2. These are common behaviors in newborns and are normal.
  3. You should ask the physician about these symptoms at your next checkup.
  4. If your baby does this again, take her to the emergency department.

[kbennett34]

Answer to Question 1

Correct Answer: 1
Rationale 1: Daytime hypersomnia is often due to medical conditions such as kidney, liver, or metabolic disturbances. The nurse should suggest that the client be evaluated by a physician.
Rationale 2: Daytime hypersomnia is rarely caused by psychologic issues.
Rationale 3: An over-the-counter sleep aid is not a good choice, as the client already sleeps well at night and sleep aids can sometimes cause future sleep disturbances.
Rationale 4: Caffeinated beverages may increase daytime wakefulness, but will not help any underlying problem that may be present.

Answer to Question 2

Correct Answer: 2
Rationale 1: There is no need for the mother to bring the baby in for an immediate checkup.
Rationale 2: These are indications of normal REM sleep in the newborn. The mother should be reassured that this is normal.
Rationale 3: Having the mother wait until the next checkup unnecessarily delays reassurance that this is normal sleep behavior for a newborn.
Rationale 4: This is normal sleep behavior for a newborn. The baby does not need to be seen in the emergency department.

[bobthebuilder]

Thanks for the timely response, appreciate it

[okolip]

Excellent