The nurse has instituted bedtime routines for patients with dementia in a long-term care facility. What assessment findings best indicate the program is effective?
a. Patients are more alert and oriented during the day.
b. Patients fall asleep within 20 to 30 mi-nutes of going to bed.
c. Patients appear happier and more inter-ested in activities.
d. Patients on diuretics awake less often during the night.
B
People should be able to fall asleep within 20 to 30 minutes after going to bed, so this assessment finding best indicates the program is working.
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What should the nurse be diligent in to provide a safe environment for the patient?
a. Keeping a light on at night to prevent falls b. Hand hygiene between patient contacts c. Regulating the temperature to avoid drafts d. Changing the bed linen to diminish microorganisms
A nurse is caring for a client with myasthenia gravis who has undergone a thymectomy. Which clinical manifestation should alert the nurse to a complication of this procedure?
A. Sudden onset of shortness of breath B. Swelling of the lower extremities C. Lower abdominal tenderness D. Decreased urinary output
A patient whose foot was cut deeply by a rusty tin can last received a tetanus toxoid vaccination 8 years ago. He is prescribed to now receive a tetanus toxoid injection. What type of immunity does this vaccination help provide?
a. Boosting of artificially acquired active immunity b. Initiation of artificially acquired active immunity c. Boosting of naturally acquired active immunity d. Initiation of naturally acquired active immunity
A definition of culture does not include
a. Individual qualities. b. Customs and scripts of a group. c. Traditions that are shared by a group. d. Learned beliefs and values.