The nurse is preparing a care plan for a patient recently diagnosed with obstructive sleep apnea. The patient complains of daytime sleepiness, fatigue and excessive snoring that "wakes me up". What nursing diagnosis would be appropriate for this
A) Disturbed Sleep Pattern as evidenced by complaints of daytime sleepiness
B) Disturbed Sleep Pattern related to obstructive sleep apnea as evidenced by excessive snoring
C) Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring
D) Disturbed Sleep Pattern related to obstructive sleep apnea
Ans: C
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The nurse is providing care for a newly married woman with systemic lupus erythematosus (SLE). Which client statement indicates an appropriate understanding of the plan of care?
A) "I will take birth control pills while I am taking cytotoxic medications." B) "I do not need to contact the doctor if I develop a fever or rash." C) "I plan to go to the movies this weekend so that I get out of the house." D) "I can take aspirin as indicated for pain."
Subtract: –
What will be an ideal response?
The nurse is auscultating the fifth intercostal space left midclavicular line. Which should the nurse anticipate documenting?
A. Aortic sounds. B. Tricuspid sounds. C. Pulmonic sounds. D. Apical pulse.
The nurse is preparing to perform an initial prenatal assessment of a pregnant client who recently immigrated to the United States. Which cultural aspects should the nurse include during the assessment of this client? Select all that apply
1. Birth rituals 2. Nutritional practices 3. Use of home remedies 4. Expectations to return to work 5. Beliefs about exercise and activity