Author Question: After experiencing two workplace accidents in which he fell asleep, a 30-year-old construction ... (Read 103 times)

Pea0909berry · **on:** Jul 23, 2018

After experiencing two workplace accidents in which he fell asleep, a 30-year-old construction worker has been diagnosed with narcolepsy.

The patient admits that he is embarrassed to receive this diagnosis and is adamant that no one find out about it. The nurse should respond to the patient by explaining what aspect of the etiology? A) This is the result of neurological factors over which you have no direct control.
B) In a lot of cases, making improvements to your sleep habits can resolve narcolepsy.
C) This is something that runs in certain families, and it's not your fault that this has happened.
D) This usually stems from suppressed emotions, so counseling usually helps greatly.

Question 2

A patient with ulcers has asked the nurse if it would be acceptable for him to take bismuth subsalicylate. Before recommending an OTC formulation of this drug, the nurse should assess the patient's

A) immunization history.
B) allergy status.
C) cognition.
D) normal bowel pattern.

ryhom · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Narcolepsy is a neurological sleep disorder, not the result of mental illness or psychological problems. It is most likely due to a number of genetic abnormalities, but family history is not noted to be highly significant.

Answer to Question 2

B
Feedback:
Because it is a salicylate, this drug can cause serious bleeding problems when used alone in patients with ulcers. People with an allergy to aspirin or other salicylates should not take bismuth subsalicylate. The patient's bowel pattern, immunization history, and cognition are not central considerations.