SAS 16

CoOA

1. D

Hyperparathyroidism is most common in older women and is characterized by bone pain and weakness
from excess parathyroid hormone (PTH). Clients also exhibit hypercaliuria-causing polyuria. While clients
with diabetes mellitus and diabetes insipidus also have polyuria, they don't have bone pain and
increased sleeping. Hypoparathyroidism is characterized by urinary frequency rather than polyuria.

2. D

To control hypoglycemic episodes, the nurse should instruct the client to consume a low-carbohydrate,
high-protein diet, avoid fasting, and avoid simple sugars. Increasing saturated fat intake and increasing
vitamin supplementation wouldn't help control hypoglycemia.

3. D

If you smoke, you may go through menopause about 1-1/2 years earlier than women who don't smoke,
the NIA says.

4. D

Bones thin when ovaries stop producing estrogen. Cholesterol levels can rise, which threatens heart
health.

5. B

Used for a short time, hormone therapy can help relieve symptoms of menopause. Long-term use,
though, raises the risk for breast cancer, heart attack, and stroke.

6. A C D

These symptoms are often reported by clients with insomnia. Clients report nonrestorative sleep. Arising
once at night to urinate (nocturia) is not in and of itself insomnia.

7. B

It improves sleep quality by helping people fall asleep faster, reducing nighttime awakenings, and
increasing the time spent in slow-wave sleep.

8. C E F

Lying in bed when one is unable to sleep increases frustration and anxiety which further impede sleep;
other activities, such as reading or watching television, should not be conducted in bed. Counting
backwards requires minimal concentration but it is enough to interfere with thoughts that distract a
person from falling asleep.
9. B

Melatonin is a natural hormone that induces sleep. All the others are medications classified as
stimulants.

10. C

Slow heart rate is one of the symptoms would a patient exhibit with hyperthyroidism.