Author Question: An older adult client recovering from prostate surgery is waking up frequently during the night. ... (Read 41 times)

evelyn o bentley · **on:** Jun 25, 2018

An older adult client recovering from prostate surgery is waking up frequently during the night. Which client statement supports the nursing diagnosis Disturbed Sleep Pattern?

A) The pain in my hips is unbearable at times.
B) I walk for half an hour after I eat breakfast.
C) I take my Zoloft as soon as I get up in the morning.
D) I have one cup of regular coffee in the morning.

Question 2

During a routine physical examination of a client's lungs, the nurse notes a small, fleshy bump on the client's upper chest. What should the nurse suspect as the cause of this finding on the client's skin?

A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Actinic keratosis
D) Malignant melanoma

dominiqueenicolee · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Physical discomfort or pain, especially from osteoarthritis and focused in the hips, often disrupts the sleep of older persons. The client is taking his prescribed antidepressant medication Zoloft (sertraline hydrochloride) appropriately because it has a stimulant effect and should be taken in the morning. A short walk in the morning is an appropriate type and timed exercise. Caffeine intake of one morning cup of coffee should have little interference with sleeping during the night.

Answer to Question 2

Answer: B

Basal cell carcinoma often presents as a small, fleshy bump. Squamous cell carcinoma most often appears as a flesh-colored, erythematous, indurated scaly plaque. Malignant melanoma manifests as black, brown, or multicolored nodules or plaques. Actinic keratosis is a precancerous condition. The lesion appears as a sore, rough, scaly plaque.