Chapter 32 Activity Rest and Sleep

Chapter 32 Activity Rest and Sleep

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A client is returned to bed after ambulating for the second time following abdominal surgery. Thenurse assesses the client’s vital signs and discusses the ambulation. What information obtained bythe nurse indicates that the client is not physically tolerating the ambulation?1)A)The systolic blood pressure is 104 mm Hg.B)The client complains of feeling weak and tired.C)The client expresses feeling nauseous during ambulation.D)The radial pulse is 140 beats per minute.Answer:DExplanation:A)The radial pulse is outside of the parameters for a normal pulse rate. If theelevation does not return to within normal limits after 5 minutes of rest, it is anabnormal finding. Weakness, tiredness, and nausea are not uncommon in the earlyphase of postoperative ambulation. Although low, the systolic blood pressure iswithin normal limits (given the amount of information in the case scenario).AssessmentPhysiological Integrity-Physiological AdaptationAnalysisB)The radial pulse is outside of the parameters for a normal pulse rate. If theelevation does not return to within normal limits after 5 minutes of rest, it is anabnormal finding. Weakness, tiredness, and nausea are not uncommon in the earlyphase of postoperative ambulation. Although low, the systolic blood pressure iswithin normal limits (given the amount of information in the case scenario).AssessmentPhysiological Integrity-Physiological AdaptationAnalysisC)The radial pulse is outside of the parameters for a normal pulse rate. If theelevation does not return to within normal limits after 5 minutes of rest, it is anabnormal finding. Weakness, tiredness, and nausea are not uncommon in the earlyphase of postoperative ambulation. Although low, the systolic blood pressure iswithin normal limits (given the amount of information in the case scenario).AssessmentPhysiological Integrity-Physiological AdaptationAnalysisD)The radial pulse is outside of the parameters for a normal pulse rate. If theelevation does not return to within normal limits after 5 minutes of rest, it is anabnormal finding. Weakness, tiredness, and nausea are not uncommon in the earlyphase of postoperative ambulation. Although low, the systolic blood pressure iswithin normal limits (given the amount of information in the case scenario).AssessmentPhysiological Integrity-Physiological AdaptationAnalysis2)During a physician’s office visit for a physical examination that is required to participate in asummer athletic program at a neighborhood school, the mother of a 14-year-old boy comments tothe nurse, “I don’t know if my son will be able to get up in time. Most days he sleeps until noonunless I wake him up earlier.” What is an appropriate response by the nurse to the mother at thistime?2)A)”Let’s wait until he has been examined and see if there might be a reason that he sleeps somuch.”1
B)”If he really wants to participate in the program, he will get up on time.”C)”Do you think he is not feeling well or is worried about something?”D)”Adolescents may require more sleep because this is a time of increased growth anddevelopment. Do you think this might be a contributing factor?”Answer:DExplanation:A)Early adolescence is a time of increased growth spurts for boys and girls and manychanges associated with physical maturation. It is not abnormal for an adolescentto like to stay up later in the evening, and sleep later in the morning, especiallyduring school vacation times. Telling the mother that her son will get up on time ifhe wants to participate in the program and telling her to wait until he has beenexamined to see if there is a reason that he sleeps so much limit communication bystating the nurse’s opinion or advice and are based on incorrect application oftheory knowledge. Asking if he is not feeling well or might be worried aboutsomething, although encouraging further comments from the mother, implies thatthis is abnormal behavior for the adolescent.ImplementationHealth Promotion and MaintenanceApplicationB)Early adolescence is a time of increased growth spurts for boys and girls and manychanges associated with physical maturation. It is not abnormal for an adolescentto like to stay up later in the evening, and sleep later in the morning, especiallyduring school vacation times. Telling the mother that her son will get up on time ifhe wants to participate in the program and telling her to wait until he has beenexamined to see if there is a reason that he sleeps so much limit communication bystating the nurse’s opinion or advice and are based on incorrect application oftheory knowledge. Asking if he is not feeling well or might be worried aboutsomething, although encouraging further comments from the mother, implies thatthis is abnormal behavior for the adolescent.ImplementationHealth Promotion and MaintenanceApplicationC)Early adolescence is a time of increased growth spurts for boys and girls and manychanges associated with physical maturation. It is not abnormal for an adolescentto like to stay up later in the evening, and sleep later in the morning, especiallyduring school vacation times. Telling the mother that her son will get up on time ifhe wants to participate in the program and telling her to wait until he has beenexamined to see if there is a reason that he sleeps so much limit communication bystating the nurse’s opinion or advice and are based on incorrect application oftheory knowledge. Asking if he is not feeling well or might be worried aboutsomething, although encouraging further comments from the mother, implies thatthis is abnormal behavior for the adolescent.ImplementationHealth Promotion and MaintenanceApplication2
D)Early adolescence is a time of increased growth spurts for boys and girls and manychanges associated with physical maturation. It is not abnormal for an adolescentto like to stay up later in the evening, and sleep later in the morning, especiallyduring school vacation times. Telling the mother that her son will get up on time ifhe wants to participate in the program and telling her to wait until he has beenexamined to see if there is a reason that he sleeps so much limit communication bystating the nurse’s opinion or advice and are based on incorrect application oftheory knowledge. Asking if he is not feeling well or might be worried aboutsomething, although encouraging further comments from the mother, implies thatthis is abnormal behavior for the adolescent.ImplementationHealth Promotion and MaintenanceApplication3)The nursing diagnosis Activity Intolerance related to decreased oxygenation is established for aclient. Which of the following actions should the nurse plan to do in order to best promote activitytolerance in the client?3)A)Complete all care at once to allow the client adequate rest periods.B)Suggest ways that the client can decrease energy requirements during care.C)Have the client decide what activities will be completed each day.D)Space nursing activities to allow the client frequent rest periods.Answer:DExplanation:A)Balancing activity and rest throughout the day increases a client’s activity toleranceconsistently, gradually, and for several different activities. Having the client decidewhat activities will be completed leaves the entire plan up to the client. If the clientdoes not want to do anything except rest or if the plan is not appropriate; thischoice will leave the nurse with few options to accomplish the goal. Avoid overlytiring the client with any single activity. It is up to the nurse to implement nursingactions that do not increase the physical demands on the client, while notpromoting activity tolerance.PlanningPhysiological Integrity-Basic Care and ComfortApplicationB)Balancing activity and rest throughout the day increases a client’s activity toleranceconsistently, gradually, and for several different activities. Having the client decidewhat activities will be completed leaves the entire plan up to the client. If the clientdoes not want to do anything except rest or if the plan is not appropriate; thischoice will leave the nurse with few options to accomplish the goal. Avoid overlytiring the client with any single activity. It is up to the nurse to implement nursingactions that do not increase the physical demands on the client, while notpromoting activity tolerance.PlanningPhysiological Integrity-Basic Care and ComfortApplication3
C)Balancing activity and rest throughout the day increases a client’s activity toleranceconsistently, gradually, and for several different activities. Having the client decidewhat activities will be completed leaves the entire plan up to the client. If the clientdoes not want to do anything except rest or if the plan is not appropriate; thischoice will leave the nurse with few options to accomplish the goal. Avoid overlytiring the client with any single activity. It is up to the nurse to implement nursingactions that do not increase the physical demands on the client, while notpromoting activity tolerance.PlanningPhysiological Integrity-Basic Care and ComfortApplicationD)Balancing activity and rest throughout the day increases a client’s activity toleranceconsistently, gradually, and for several different activities. Having the client decidewhat activities will be completed leaves the entire plan up to the client. If the clientdoes not want to do anything except rest or if the plan is not appropriate; thischoice will leave the nurse with few options to accomplish the goal. Avoid overlytiring the client with any single activity. It is up to the nurse to implement nursingactions that do not increase the physical demands on the client, while notpromoting activity tolerance.PlanningPhysiological Integrity-Basic Care and ComfortApplication