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question 4 of 5
the nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. the nurse notes the client is having slowed speech and focus, irritability, yawning, and that they report severe lumbar and right leg pain. the nurse suspects which primary nursing concern?
anxiety related to hospitalization
altered role performance related to inability to work at occupation
altered physical mobility related to restless leg syndrome
altered sleep pattern related to acute pain
The client's symptoms (slowed speech and focus, irritability, yawning) are common signs of sleep deprivation. The severe pain (lumbar and right - leg pain) is likely the cause of the disrupted sleep. Anxiety (while it can cause some similar symptoms) is not as directly linked to the combination of pain and these specific manifestations as an altered sleep pattern. Altered role performance is more about the client's ability to function in their usual life roles (like work) which is not the main focus here. Altered physical mobility due to restless leg syndrome is not indicated by the given symptoms (restless leg syndrome typically has more to do with an urge to move the legs, often at night, which is not described here).
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altered sleep pattern related to acute pain