When assessing a patient's report of experiencing "problems sleeping," the nurse gathers data related to which of the following? (Select all that apply.)
a. The patient has difficulty falling asleep.
b. The patient wakes up frequently during the night.
c. The patient finds it difficult to stay asleep.
d. The patient experiences vivid dreams while sleeping.
e. The patient has taken sleeping medication in the past.
A, B, C
Characteristics of the sleep disturbance include difficulty falling asleep, difficulty staying, asleep, frequent nocturnal awakenings, early morning awakening, and daytime sleepiness. An assessment should include questions related to the presence of these symptoms. Vivid dreams and sleeping medication are also part of a sleep history but are not characteristics of sleep disorders.
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A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency. The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites
A diagnosis of renal failure is made. The patient urinalysis has a specific gravity of 1.040 . What could be the potential cause for this value? a. Volume overload c. Acidosis b. Volume deficit d. Urine ketones
Order: Magnesium sulfate 25 g in 500 mL D5W to infuse at 2 g/hr What is the IV flow rate? _______________
a. 4 mL/hr b. 40 mL/hr c. 250 mL/hr d. 12 mL/hr
When addressing an ethical dilemma, contextual, physiological, and personal factors of the situation must be considered. Which of the following is an example of a personal factor?
a. The hospital has a policy that everyone must have an advanced directive on the chart. b. The patient has lost 20 pounds in the past month and is fatigued all of time. c. The patient has told you what quality of life means and his or her wishes. d. The physician considers care to be futile in a given situation.
Why are the numbers of children seen by the school health nurse increasing?
a. As school course work becomes more challenging, school nurses offer at least a temporary respite. b. Increasing school enrollments c. Many children lack any other sources of regular health care. d. Overcrowding because, as a result of poor economic conditions, many communities cannot increase the size or number of schools