Fund 3 Welcome to your Safety A client is experiencing a seizure in the hospital. The nurse responds promptly and takes several actions to manage the situation. After the seizure has ended, which of the following actions should the nurse prioritize to ensure the client’s safety and well-being? Administer the prescribed anticonvulsant medication immediately and prepare for the next seizure. Document the seizure, including the duration, sequence of movements, and any injuries sustained, and then provide a detailed report to the healthcare provider. Measure the client’s oxygen saturation, vital signs, and assess mental status, then provide a clear explanation of the event to the client and family. Immediately reposition the client to ensure airway patency and suction any secretions as needed to maintain a clear airway. None A nurse is educating a patient on the proper use of a disposable external urine collection device for managing urinary incontinence. Which instruction should the nurse prioritize to ensure the device is used effectively? Change the device every 6 hours to prevent skin irritation. Ensure the device is securely adhered to the external genitalia and check for leaks regularly. Use absorbent briefs in combination with the device to manage heavy urinary output. Apply the device loosely to avoid pressure on the skin and reduce discomfort. None A patient with urinary incontinence is using an external urine collection device. The nurse notes that the device has not been collecting urine efficiently and the patient is experiencing discomfort. What should the nurse prioritize to ensure proper function of the device? Reassess the fit and placement of the external urine collection device. Increase the patient’s fluid intake to ensure more urine output. Apply a larger device to collect more urine. Switch to absorbent briefs to manage the incontinence. None A 75-year-old female patient with urinary incontinence is prescribed an external urine collection device. The nurse notices that the device has been leaking, and the patient’s skin around the genital area is red and irritated. What should the nurse prioritize to prevent further skin damage? Discontinue the use of the external urine collection device. Apply a skin barrier cream to protect the irritated area before reapplying the device. Switch to an indwelling catheter to prevent leakage. Reduce the patient’s fluid intake to prevent further leakage. None A nurse is assessing the fire safety measures in a newly constructed hospital wing. Which of the following actions by the nurse demonstrates an understanding of fire safety protocols? Ensuring that all fire extinguishers are placed in locked cabinets to prevent tampering. Verifying that all fire exits are clearly marked and unobstructed. Making sure that fire drills are conducted only once a year to avoid disruption. Checking that smoke alarms are turned off during routine maintenance to avoid false alarms. None A provider writes a prescription for restraints for an adult client. According to facility policy, what is the maximum duration for which restraints can be used before requiring renewal? 1 hour 2 hours 4 hours 24 hours None A nurse is reviewing the policy on the use of restraints in the hospital. Which of the following statements best reflects appropriate restraint use and assessment practices? Restraints should be applied loosely to ensure patient comfort and effectiveness. The nurse must check the patient’s condition and remove the restraints every 2 hours to assess for skin integrity and circulation. The use of restraints requires a new order every 24 hours to ensure ongoing need and appropriateness. Restraints can be used indefinitely if the patient is at risk for harming themselves or others, as long as the patient’s family is informed. None A nurse is caring for a patient who is bedridden and has limited mobility. The nurse is planning the patient’s hygiene routine. Which of the following interventions is most important to prevent skin complications associated with immobility? Use a gentle soap and water for all hygiene practices to minimize skin irritation. Ensure the patient’s skin is thoroughly dried after each bath to prevent moisture buildup. Schedule regular turning and repositioning of the patient every 2 hours to relieve pressure points. Apply a thick layer of emollient lotion to the patient’s skin daily to keep it hydrated. None A nurse needs to document the care provided to a client in restraints. Which of the following should the nurse include in the documentation to meet legal and facility requirements? The frequency and type of care provided (e.g., range of motion, neurologic checks, integumentary checks), the client’s behavior while in restraints, and the condition of the body part in restraints. The number of times the client requested assistance, the reason for the client’s initial agitation, and any family interactions during the restraint period. The nurse’s assessment of the client’s mental health before applying the restraints and the specific reason for choosing the restraint method. The time intervals for medication administration and the staff member responsible for monitoring the client. None A nurse is assessing a patient who has been placed in wrist restraints to prevent them from pulling out their IV line. During the assessment, the nurse finds that the patient’s skin is cool, pale, and there is decreased circulation in the restrained area. Which action should the nurse take immediately? Loosen the restraints to improve circulation and re-assess the patient’s condition. Remove the restraints entirely and notify the healthcare provider of the issue. Apply a warm compress to the restrained area to improve skin color. Document the findings and continue to monitor the patient for any further changes. None A nurse is using a fire extinguisher to put out a small fire. Which of the following sequences should the nurse follow to effectively use the extinguisher? Aim at the fire’s base, pull the pin, squeeze the handle, and sweep the extinguisher from side to side. Pull the pin, aim at the fire’s base, squeeze the handle, and sweep the extinguisher from side to side. Squeeze the handle, pull the pin, aim at the fire’s base, and sweep the extinguisher from side to side. Sweep the extinguisher from side to side, pull the pin, squeeze the handle, and aim at the fire’s base. None A fire breaks out in a healthcare facility's patient care area. According to the RACE protocol, which of the following actions should the nurse take first? Activate the fire alarm system and report the fire's details and location. Rescue and protect clients in close proximity to the fire by moving them to a safer location. Confine the fire by closing doors and windows and turning off any sources of oxygen. Extinguish the fire using the appropriate fire extinguisher. None A nurse is documenting the use of restraints for a client. Which of the following details should be included in the documentation to ensure comprehensive and accurate reporting? The time the restraints were applied and removed, the type of restraints used, and the client's response at removal. The client’s medical history, the staff member who applied the restraints, and the exact location of the restraints. The nurse’s personal opinion on the effectiveness of the restraints and the client’s previous behavior incidents. Only the type of restraints and the client's behavior prior to the application. None A provider writes a prescription for restraints for an adult client. According to facility policy, what is the maximum duration for which restraints can be used before requiring renewal? 1 hour 2 hours 4 hours 24 hours None A nurse is assessing the need for restraints for a client who is agitated and attempting to harm themselves. Which of the following guidelines should the nurse follow when using restraints? Use restraints for the convenience of the staff if the client is uncooperative. Ensure that restraints restrict movement as much as necessary to prevent self-harm or harm to others. Apply restraints that interfere with the client’s ongoing treatment or therapy. Use restraints that are difficult to remove or change to prevent tampering. None A nurse is preparing to apply restraints to a client who is exhibiting violent behavior. According to federal and state policies, which of the following steps is required before applying restraints? Obtain verbal consent from the client and their family for the use of restraints. Apply restraints immediately and document the behavior that prompted their use. Obtain a written prescription from the provider after a face-to-face assessment of the client. Use restraints and then request a prescription from the provider as soon as possible. None A nurse is monitoring a client who has been in restraints for an extended period. According to facility protocols, which of the following actions should the nurse take to ensure the client's safety and comfort? Secure the restraints tightly to prevent the client from moving and ensure they do not become dislodged. Check the client's skin integrity, provide skin care every 2 hours, offer food and fluids, and assess the need to continue using the restraints. Remove the restraints every 4 hours to assess for circulation but do not offer range-of-motion exercises. Monitor the client's vital signs every 2 hours and provide hygiene only if the client requests it. None A nurse is preparing to apply restraints to a client who is agitated and at risk of harming themselves. Which of the following actions should the nurse take to ensure proper care and compliance with facility protocols? Immediately apply the restraints and document the client's behavior without further discussion. Explain the need for the restraints to the client and their family, emphasizing that they are for safety and temporary, and ask for consent to use them. Apply the restraints and then provide an explanation to the client and family after the fact. Secure the restraints to the side rails of the bed for stability and comfort. None A client poses an immediate risk to themselves and others, and the nurse decides to apply restraints to manage the situation. What must the nurse do immediately after applying the restraints in an emergency situation? Document the client's behavior and the type of restraints used. Obtain a written prescription from the provider as soon as possible according to the facility’s policy. Reassure the client and their family about the use of restraints and discuss alternative interventions. Remove the restraints and place the client in a seclusion room for further observation. None A client is experiencing a seizure in the hospital. The nurse responds promptly and takes several actions to manage the situation. After the seizure has ended, which of the following actions should the nurse prioritize to ensure the client’s safety and well-being? Administer the prescribed anticonvulsant medication immediately and prepare for the next seizure. Document the seizure, including the duration, sequence of movements, and any injuries sustained, and then provide a detailed report to the healthcare provider. Measure the client’s oxygen saturation, vital signs, and assess mental status, then provide a clear explanation of the event to the client and family. Immediately reposition the client to ensure airway patency and suction any secretions as needed to maintain a clear airway. None A nurse is reviewing the fall prevention strategies for a newly admitted client who has cognitive impairment and a history of frequent falls. The nurse needs to determine the most effective initial steps to ensure the client's safety. Which of the following actions should the nurse implement first? Orient the client to the setting and ensure they understand how to use assistive devices. Educate the client and family about safety risks and the fall prevention plan. Use fall-risk alerts such as color-coded wristbands and provide regular toileting. Ensure that the bed is in the low position and the brakes are locked. None A nurse is assessing a 72-year-old client who has intermittent confusion and a history of hypertension and diabetes. The client is currently on medication that includes a new antihypertensive drug. The client’s family expresses concern about their safety at home. Which of the following actions should the nurse take to ensure the client’s safety? Recommend installing night lights in the client’s home. Advise the family to limit the client’s fluid intake to reduce the need for nighttime trips to the bathroom. Suggest that the client use a bed alarm to prevent falls during the night. Encourage the family to place a list of emergency numbers by the client’s bedside. None A client is experiencing a generalized seizure. The nurse arrives and needs to intervene immediately. Which of the following actions should the nurse perform first? Place the client on their back and put a padded tongue blade in their mouth to prevent biting. Lower the client gently to the floor, protect their head, and remove nearby furniture. Hold the client’s arms and legs to prevent movement and ensure they do not injure themselves. Start oxygen therapy and prepare for possible intubation if the seizure continues. None A client with a history of generalized seizures is admitted to the hospital. The nurse is preparing the room to ensure seizure precautions are in place. Which of the following actions should the nurse take first to ensure the client's safety? Place a padded tongue blade at the bedside to prevent injury. Ensure that oxygen, an oral airway, suction equipment, and padding for the side rails are readily available. Advise the family to keep the client in a restrained position to prevent injury. Inspect the client’s environment and remove any unnecessary items that could cause injury during a seizure. None An older adult client has been admitted to a healthcare facility and is assessed as high risk for falls. The nurse develops a fall prevention plan including several interventions. The client is known to have orthostatic hypotension and cognitive impairment. Which of the following interventions should the nurse prioritize to address both of these risk factors effectively? Ensure the client’s call light is in reach and demonstrate its use to the client. Provide regular toileting and orientation, and instruct the client to sit on the side of the bed before standing. Place the client near the nurses’ station and use electronic safety monitoring devices to alert staff. Keep the bed in the low position and provide nonskid footwear for the client. None A nurse is caring for a client who has recently become intermittently confused following a change in medication regimen. The client is at risk for wandering. Which intervention is the most appropriate to ensure client safety? Place a “Do Not Disturb” sign on the client’s door to prevent unnecessary interactions. Ensure the client’s room door is locked at all times. Develop a structured routine to help the client with orientation and reduce confusion. Provide frequent verbal reminders about the client’s current location and schedule. None A nurse is conducting a fire safety drill in a long-term care facility. During the drill, the nurse notices that a resident with limited mobility is still in their room when the drill begins. Which action should the nurse take first to ensure the resident's safety? Instruct the resident to remain in their room until help arrives. Use a wheelchair to quickly evacuate the resident from the room. Call for additional staff to assist with the evacuation of the resident. Guide the resident to the nearest exit, providing verbal instructions on how to navigate through the smoke. None A nurse is preparing to apply restraints to a client who is exhibiting violent behavior. According to federal and state policies, which of the following steps is required before applying restraints? Obtain verbal consent from the client and their family for the use of restraints. Apply restraints immediately and document the behavior that prompted their use. Obtain a written prescription from the provider after a face-to-face assessment of the client. Use restraints and then request a prescription from the provider as soon as possible. None A nurse is assessing the need for restraints for a client who is agitated and attempting to harm themselves. Which of the following guidelines should the nurse follow when using restraints? Use restraints for the convenience of the staff if the client is uncooperative. Ensure that restraints restrict movement as much as necessary to prevent self-harm or harm to others. Apply restraints that interfere with the client’s ongoing treatment or therapy. Use restraints that are difficult to remove or change to prevent tampering. None A client poses an immediate risk to themselves and others, and the nurse decides to apply restraints to manage the situation. What must the nurse do immediately after applying the restraints in an emergency situation? Document the client's behavior and the type of restraints used. Obtain a written prescription from the provider as soon as possible according to the facility’s policy. Reassure the client and their family about the use of restraints and discuss alternative interventions. Remove the restraints and place the client in a seclusion room for further observation. None Time's up Welcome to your Mobility A nurse is caring for an elderly client (age 75) who is on bed rest with the following vital signs: heart rate 85 bpm, respiratory rate 20 breaths per minute, blood pressure 128/78 mmHg, oxygen saturation 96%, and temperature 36.7°C (98.1°F). Which of the following interventions should the nurse implement to prevent atelectasis? Deselect Answer Administer a low dose of heparin. Encourage the use of an incentive spirometer. Perform suctioning on the client every hour. Apply compression stockings (TED hose). None A nurse is assisting a middle-aged client (age 50) with the following vital signs: heart rate 78 bpm, respiratory rate 18 breaths per minute, blood pressure 120/80 mmHg, oxygen saturation 97%, and temperature 36.9°C (98.4°F). The nurse needs to help pull the client up in bed. Which of the following actions should the nurse take? Deselect Answer Keep the client’s arms positioned at their sides Ensure the bed is in its lowest position to prevent the client from falling. Attempt to lift the client alone without assistance. Raise the bed to a comfortable working height for the nurse. None A nurse is assisting a young adult client (age 25) with the following vital signs: heart rate 75 bpm, respiratory rate 16 breaths per minute, blood pressure 118/76 mmHg, oxygen saturation 98%, and temperature 37.0°C (98.6°F). The client has received crutches in an urgent care center following a foot injury. Which of the following statements made by the client indicates a need for further teaching? "I will keep spare crutch tips available in case I need them." "I will support my body weight on my hands while using the crutches." "I will check my crutches every day for signs of wear and tear." "I will make sure to put weight on my underarms while using the crutches." Which of the following describes the primary function of long bones in the human body? Deselect Answer Provide storage for minerals and fat Produce blood cells To store fat Contribute to height and length None Which classification describes the bones located in the wrist? Deselect Answer Long bones Short bones Flat bones Irregular bones None A nurse stretches out a patient’s leg and moves it in a circle. This is an example of what type of body movement? Deselect Answer Abduction Flexion Circumduction Dorsiflexion None Which joint type allows movement in multiple planes and is found in the shoulder and hip? Deselect Answer Hinge Pivot Ball and socket Gliding None Which of the following muscles is responsible for voluntary movement and maintaining posture? Deselect Answer Cardiac muscle Smooth muscle Skeletal muscle Visceral muscle None What is the primary goal of ergonomics in healthcare settings related to patient handling and mobility? Deselect Answer To reduce the number of patient injuries To enhance patient comfort during transfer To design work tasks that align with worker capability and prevent injury To increase the speed of patient transfers None Which of the following is a key variable that increases the risk of injury during patient handling? Deselect Answer Coordinated team lifting Manual lifting and transferring Using mechanical lifts for transfers Adequate staffing for patient transfers None QuestionWhen assessing a patient’s health history related to mobility, which of the following should the nurse include? (Select all that apply.) Daily activity level Endurance History of substance use Mobility problems Exercise/fitness goals A nurse is performing a physical assessment of a patient’s mobility. Which of the following should be included in the assessment? Deselect Answer Joint structure and function, muscle mass, tone, and strength Coordination and daily nutrition intake Skin turgor and respiratory rate Muscle symmetry and vital signs None Which of the following factors increases the risk of back injury in healthcare workers? Deselect Answer Using mechanical assistive devices Uncoordinated lifts and manual transfers Stretching before lifting patients Utilizing team-based lifts None A nurse is caring for a patient with impaired mobility who requires frequent repositioning. Which assistive device should the nurse use to minimize friction and shearing forces during repositioning? Deselect Answer Gait belt Friction-reducing sheet Powered full-body lift Transfer chair None A nurse is performing passive range-of-motion (ROM) exercises for a patient who is immobile. Which statement best describes passive ROM? Deselect Answer The patient actively moves their joints with minimal assistance The patient independently performs exercises to improve mobility The nurse or caregiver moves the patient's joints through the range of motion The patient is encouraged to perform exercises in a seated position None A nurse is preparing a middle-aged client (age 55) for ambulation. The client’s vital signs are as follows: heart rate 76 bpm, respiratory rate 18 breaths per minute, blood pressure 130/85 mmHg, oxygen saturation 98%, and temperature 37.1°C (98.8°F). Which of the following actions should the nurse take to assess the client’s level of strength before ambulation? Deselect Answer Ask the client how strong they feel today. Instruct the client to touch their finger to their nose. Check the client’s pedal pulses. Ask the client to press their feet against the nurse’s hands. None Which type of exercise involves muscle contraction with resistance and is commonly used in physical therapy to improve muscle strength? Deselect Answer Isotonic Isometric Isokinetic Aerobic None Which type of nervous system is responsible for conveying the response from the central nervous system (CNS) to skeletal muscles to facilitate movement? Deselect Answer Afferent nervous system Autonomic nervous system Efferent nervous system None A nurse is teaching a patient how to use a cane for walking. Which of the following instructions is most appropriate? Deselect Answer Hold the cane on the weak side and move it forward with the weak leg. Hold the cane on the strong side and move it forward with the weak leg. Hold the cane on the strong side and move it forward with the strong leg. Hold the cane on either side and move it forward with both legs simultaneously. None A nurse is preparing to move a patient up in bed. Which action is most appropriate to reduce the risk of injury to both the patient and the nurse? Deselect Answer Ask the patient to bend their knees and push up using their legs while the nurse pulls Use a mechanical lift to move the patient Use a friction-reducing sheet and two caregivers to move the patient up in bed Have the patient grasp the head of the bed and pull themselves up None Which of the following is the appropriate use of a cane for a patient with right-sided weakness? Deselect Answer Hold the cane in the left hand and move it forward simultaneously with the left leg. Hold the cane in the right hand and move it forward with the right leg. Hold the cane in the left hand and move it forward simultaneously with the right leg. Hold the cane in either hand and move it with the strong leg. None A nurse is assisting a patient with leg braces. Which of the following should be included in the teaching plan? Deselect Answer The patient should lock the braces before sitting down. The patient should lock the braces before standing and unlock them before sitting. The patient should unlock the braces before standing up. The patient should not lock the braces at any time. None A patient is being taught how to use crutches with a three-point gait. Which instruction is most appropriate? Deselect Answer Move both crutches forward, followed by the stronger leg. Move both crutches forward simultaneously with the weaker leg, followed by the stronger leg. Move one crutch forward, then the opposite leg, followed by the other crutch and the remaining leg. Move the weaker leg and both crutches forward simultaneously, followed by the stronger leg. None An older adult patient reports trouble lying still at night due to creeping and tingling sensations in their legs. What additional information should the nurse gather to assess the severity of the patient's Restless Legs Syndrome (RLS)? Deselect Answer The patient's daytime exercise routine When the problem began and how often it occurs The patient's dietary habits during the day The patient's temperature at night None An adolescent patient reports frequent difficulty falling asleep due to restless legs. Which question would be most appropriate for the nurse to ask when obtaining a sleep history for this patient? Deselect Answer "Do you consume caffeine during the day?" "Have you noticed changes in your skin or hair recently?" "Are you able to sleep through the night without waking up?" "How often do you nap during the day?" None Which of the following is a benefit of exercise to the musculoskeletal system? Deselect Answer Reduced muscle efficiency and flexibility Increased bone loss Decreased coordination Increased muscle efficiency and flexibility None Time's up Welcome to your Sensory A nurse is admitting an older adult client (age 70) with the following vital signs: heart rate 72 bpm, respiratory rate 16 breaths per minute, blood pressure 125/80 mmHg, oxygen saturation 97%, and temperature 36.5°C (97.7°F). The client has partial hearing loss. Which of the following actions should the nurse perform first? Deselect Answer A nurse is admitting an older adult client (age 70) with the following vital signs: heart rate 72 bpm, respiratory rate 16 breaths per minute, blood pressure 125/80 mmHg, oxygen saturation 97%, and temperature 36.5°C (97.7°F). The client has partial hearing loss. Which of the following actions should the nurse perform first? Position yourself directly in front of the client when speaking. Rephrase any statements the client does not understand. Ask if the client uses hearing aids and if they are functioning. None A nurse is establishing a relationship with a middle-aged client (age 52) who is severely visually impaired. The client’s vital signs are as follows: heart rate 74 bpm, respiratory rate 18 breaths per minute, blood pressure 122/78 mmHg, oxygen saturation 97%, and temperature 36.8°C (98.2°F). The nurse is teaching the client how to contact the nurse for assistance. Which action should the nurse take? Deselect Answer Attach a raised Braille sticker to the call button for easy identification. Inform the client that a staff member will check in once an hour to ask if assistance is needed. Advise the client to ask a family member to notify staff when help is required. Implement a color-coded call light system for the client. None A school-age child is brought to the clinic because the parents are concerned that the child frequently does not respond when spoken to. The nurse knows that which of the following conditions must be met for the child to properly receive auditory sensory data? Deselect Answer Stimulus, receptor, and functioning brain Stimulus, receptor, and visual pathway Receptor, gustatory stimulus, and functioning brain Visual and olfactory sensory stimuli None An older adult patient reports difficulty with balance and frequently bumping into objects when walking. The nurse knows this is related to which sensory system? Deselect Answer Kinesthetic and tactile sensory function Proprioception and kinesthetic function Auditory and gustatory function Visual and olfactory function None An older adult patient in a long-term care facility is showing signs of confusion and lethargy. The nurse suspects sensory deprivation. Which of the following factors may contribute to sensory deprivation in this patient? Deselect Answer The patient frequently watches television and interacts with staff The patient has hearing loss and is in a room with minimal stimuli The patient is frequently engaged in physical activities with other residents The patient spends most of the day in the common room with other residents None An infant is admitted to the neonatal intensive care unit (NICU) due to premature birth. The nurse understands that this infant is at risk for sensory deprivation. Which factor contributes to sensory deprivation in this population? Deselect Answer Frequent handling by healthcare providers Exposure to bright lights in the NICU Minimal physical contact with caregivers and lack of stimulation Constant noise from medical equipment None An older adult in a long-term care facility has impaired hearing and vision. The nurse knows this patient is at risk for sensory deprivation. Which of the following signs and symptoms might the patient exhibit due to sensory deprivation? Deselect Answer Increased social interaction and engagement Perceptual disturbances such as hallucinations Increased cognitive functioning Ability to process environmental stimuli without difficulty None A school-age child is diagnosed with hearing impairment. Which intervention should the nurse prioritize to promote effective communication and prevent sensory deprivation in this child? Deselect Answer Speak loudly and use exaggerated facial expressions Use visual aids and encourage the use of hearing aids if prescribed Limit interaction to prevent overstimulation Encourage the child to read lips without additional assistance None An adolescent with a sensory processing disorder reports feeling overwhelmed by certain textures and noises in the school environment. Which nursing intervention would help this adolescent manage sensory overload? Deselect Answer Encourage exposure to multiple stimuli to build tolerance Suggest the use of sensory tools, such as noise-canceling headphones and fidget toys Recommend medication to sedate the adolescent during overwhelming situations Discourage the adolescent from expressing discomfort about stimuli None An older adult patient reports numbness in their hands and difficulty feeling temperature changes. What should the nurse teach the patient to prevent injury related to their sensory deficit? Deselect Answer Always test water temperature with the back of the hand before bathing Use extra layers of clothing to prevent feeling cold Perform daily skin checks for signs of injury or breakdown Avoid using heating pads or cold packs None A nurse is performing a physical assessment of a patient’s mobility. Which of the following should be included in the assessment? Deselect Answer Joint structure and function, muscle mass, tone, and strength Coordination and daily nutrition intake Skin turgor and respiratory rate Muscle symmetry and vital signs None An older adult patient reports trouble lying still at night due to creeping and tingling sensations in their legs. What additional information should the nurse gather to assess the severity of the patient's Restless Legs Syndrome (RLS)? Deselect Answer The patient's daytime exercise routine When the problem began and how often it occurs The patient's dietary habits during the day The patient's temperature at night None A school-age child is admitted to the hospital after experiencing a head injury and is displaying confusion and lethargy. The nurse knows that these symptoms indicate which state of awareness? Deselect Answer Vegetative state Normal consciousness Somnolence and confusion Locked-in syndrome None An adolescent patient presents with signs of sensory overload due to excessive use of electronic devices and constant noise. The nurse understands that the Reticular Activating System (RAS) plays which role in sensory regulation? Deselect Answer It mediates arousal by enhancing or inhibiting sensory stimuli It processes auditory information to increase awareness It is responsible for the sleep-wake cycle exclusively It enhances vision by regulating light input None A middle-aged patient in the intensive care unit (ICU) complains of feeling overwhelmed by the constant noise and activity around them. The nurse suspects sensory overload. What nursing intervention is most appropriate for this patient? Deselect Answer Increase the frequency of nursing assessments to monitor the patient's condition Provide earplugs or noise-canceling headphones and reduce unnecessary stimuli Encourage the patient to watch television to distract them from the stimuli Increase the number of visitors to provide more familiar interaction None An adolescent patient reports frequent difficulty falling asleep due to restless legs. Which question would be most appropriate for the nurse to ask when obtaining a sleep history for this patient? Deselect Answer "Do you consume caffeine during the day?" "Have you noticed changes in your skin or hair recently?" "Are you able to sleep through the night without waking up?" "How often do you nap during the day?" None Time's up Post navigation Previous Previous post: Fund 2Next Next post: Fund 4
