Author Question: A client is complaining of irritability, difficulty with memory, constant fatigue, and an inability ... (Read 73 times)

haleyc112

  • Hero Member
  • *****
  • Posts: 600
A client is complaining of irritability, difficulty with memory, constant fatigue, and an inability to fall asleep.
 
  The client averages 3 hours of sleep each night, has been following a restricted calorie evening meal as part of a weight loss plan, and exercises every evening. Instead of food, the client drinks no-calorie caffeinated sodas. What should the nurse suggest to this client?
  1. Eating a larger meal later in the evening will facilitate better sleep and relieve the symptoms.
  2. An MRI might be necessary to determine the factors causing the symptoms.
  3. Dieting is a common cause for difficulty sleeping.
  4. Changes in hormones due to exercising late in the evening and late intake of caffeine might be disrupting the NREM sleep phase, causing the stated symptoms.

Question 2

A client diagnosed with narcolepsy, sleepwalking, and cataplexy is prescribed a selective serotonin reuptake inhibitor (SSRI). Which explanation regarding this medication is the most accurate?
 
  1. It lowers levels of serotonin, thereby increasing serotonin and elevating energy levels.
  2. It helps with sleepwalking because the increase in serotonin allows the client a deeper sleep.
  3. It decreased sleepiness, as SSRIs are stimulants, which will help the client maintain wakefulness.
  4. It decreased episodes of slurred speech, sagging of the jaw, and head nodding.



smrtceo

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

Correct Answer: 4
Rationale 1: Eating a larger meal in the evening usually causes sleeplessness.
Rationale 2: A MRI would not be ordered until other conditions were ruled out.
Rationale 3: Dieting can have an affect on sleep, but it would not be the best response in this case.
Rationale 4: Decreases in neurotransmitters signal the change from wakefulness to nonrapid eye movement (NREM) sleep. Late exercise increases adrenaline, and caffeine is a stimulant. Both of these factors could interrupt NREM sleep.
Global Rationale: Decreases in neurotransmitters signal the change from wakefulness to nonrapid eye movement (NREM) sleep. Late exercise increases adrenaline, and caffeine is a stimulant. Both of these factors could interrupt NREM sleep. Eating a larger meal in the evening usually causes sleeplessness. A MRI would not be ordered until other conditions were ruled out. Dieting can have an affect on sleep, but it would not be the best response in this case.

Answer to Question 2

Correct Answer: 4
Rationale 1: Increased levels of serotonin elevate mood, not energy levels.
Rationale 2: Though increased serotonin might improve sleep, there is no indication that increased serotonin reduces sleepwalking.
Rationale 3: SSRIs are serotonin reuptake inhibitors. Amphetamines, methylphenidate, and modafinil are stimulants.
Rationale 4: Cataplexy is a sudden loss of muscle strength manifesting as slurred speech, sagging of the jaw, head nodding, or even complete collapse of the body. Stimulants such as modafinil are not effective for cataplexy symptoms. Older therapies for cataplexy include antidepressants, such as TCAs or SSRIs.
Global Rationale: Cataplexy is a sudden loss of muscle strength manifesting as slurred speech, sagging of the jaw, head nodding, or even complete collapse of the body. Stimulants such as modafinil are not effective for cataplexy symptoms. Older therapies for cataplexy include antidepressants, such as TCAs or SSRIs. Increased levels of serotonin elevate mood, not energy levels. Though increased serotonin might improve sleep, there is no indication that increased serotonin reduces sleepwalking. SSRIs are serotonin reuptake inhibitors. Amphetamines, methylphenidate, and modafinil are stimulants.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

For a complete list of videos, visit our video library