A 74-year-old patient reports having sleeping difficulties. To ...

[Pineappleeh]

A 74-year-old patient reports having sleeping difficulties. To have a better idea of the patient's problem, how should the nurse respond?
 
  a. What do you do just before going to bed?
  b. Let's make sure that your bedroom is completely darkened at night.
  c. Why don't you try napping more during the daytime?
  d. You should always eat something just before bedtime.

Question 2

The patient has bilateral casts on the upper extremities, so the nurse will be measuring the blood pressure in the legs. Which of the following does the nurse expect the diastolic pressure to be?
 
  a. 10 to 40 mm Hg higher than in the brachial artery
  b. 20 to 30 mm Hg lower than in the brachial artery
  c. 50 mm Hg higher than in the brachial artery
  d. Essentially the same as in the brachial artery

[Pariscourtney]

Answer to Question 1

A

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A To assess the patient's sleeping problem, the nurse should inquire about predisposing factors, such as by asking, What do you do just before going to bed? Assessment is aimed at understanding the characteristics of any sleep problem and the patient's usual sleep habits so that ways for promoting sleep can be incorporated into nursing care.
B Older adults may prefer to sleep in softly lit rooms.
C Napping more during the daytime is often not the best solution. The nurse should first assess the patient's sleeping problem.
D The patient does not always have to eat something before going to bed. The nurse should first assess the patient's current sleep habits.

Answer to Question 2

D

Feedback
A The systolic pressure, not the diastolic pressure, is 10 to 40 mm Hg higher than in the brachial artery.
B Expecting the diastolic pressure to be 20 to 30 mm Hg lower than in the brachial artery is incorrect.
C Expecting the diastolic pressure to be 50 mm Hg higher than in the brachial artery is incorrect.
D When measuring the BP in the legs, systolic pressure is usually higher by 10 to 40 mm Hg than that in the brachial artery, but the diastolic pressure is the same.

[Pineappleeh]

Thank you!

[Pariscourtney]

Always glad to help...