ExhibitCategoryDataClientA.S., 58-year-old FemaleDiagnosisRecurrent Major Depressive DisorderChief ComplaintDifficulty initiating sleep, feels poorly restedSleep HistoryTakes 1-2 hours to fall asleep, wakes frequently, ongoing 3 weeksMedicationsCitalopram 20 mg PO daily, Lorazepam 0.5 mg PO PRN anxietyLast LorazepamNot taken in past 48 hoursVitalsBP 128/78, HR 72, RR 16, SpO2 98% on room airOrientationAlert and oriented x3The nurse is caring for a client who reports difficulty initiating sleep and feeling poorly rested in the morning. ➢ After reviewing the clinical data, which action should the nurse take? Click to view the exhibit for additional client information.

Offer the client a light snack before bed.

Suggest that the client take more naps throughout the day.

Offer the client a p.r.n. dose of lorazepam for the client's poor sleep.

Administer a dose of albuterol before the client goes to bed to optimize the client's breathing.

NCLEX Question: ExhibitCategoryDataClientA.S., 58-year-old F

121 / 150

Fundamentals

Exhibit

Category	Data
Client	A.S., 58-year-old Female
Diagnosis	Recurrent Major Depressive Disorder
Chief Complaint	Difficulty initiating sleep, feels poorly rested
Sleep History	Takes 1-2 hours to fall asleep, wakes frequently, ongoing 3 weeks
Medications	Citalopram 20 mg PO daily, Lorazepam 0.5 mg PO PRN anxiety
Last Lorazepam	Not taken in past 48 hours
Vitals	BP 128/78, HR 72, RR 16, SpO2 98% on room air
Orientation	Alert and oriented x3

The nurse is caring for a client who reports difficulty initiating sleep and feeling poorly rested in the morning.

➢ After reviewing the clinical data, which action should the nurse take? Click to view the exhibit for additional client information.

A free account unlocks answers for the preview questions in every exam. A pass unlocks all of them.

Correct0

Incorrect0

Skipped0

Accuracy0%