The nurse is triaging a patient for an annual check-up with the health care provider. When questioned about changes in sleep habits the patient replies, "Since my spouse passed away last month, I have not been sleeping well at all
" What are the most appropriate interventions for the nurse to make? (Select all that apply.) a. Speaking to the health care provider for a benzodiazepine sleeping aid
b. Contacting a pastoral care professional
c. Consulting with a psychiatric clinical nurse specialist
d. Consulting with a clinical psychologist
e. Referring the patient for evaluation to the sleep clinic
B, C, D
The nature of a sleep disturbance determines whether referrals to additional health care providers are necessary. For example, if a sleep problem is related to a situational crisis or emotional problem, refer the patient to a psychiatric clinical nurse specialist, pastoral care professional or clinical psychologist for counseling. When chronic insomnia is the problem, a medical referral or referral to a sleep center is beneficial. Benzodiazepine can lead to tolerance, abuse, and dependence.
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The nurse is setting up a sterile tray for the health care provider who will insert a central venous access device
While the nurse completes setting up the tray, the unit secretary enters the room to inform the nurse the health care provider has been delayed, and will not arrive for 15-20 minutes. Which action by the nurse is the most appropriate? 1. Sit in the room talking with the client while observing the sterile field is not contaminated. 2. Discard the sterile tray and obtain a new one to set up when the health care provider arrives. 3. Cover the sterile field with a sterile drape and set the tray out of the way for use when the health care provider arrives. 4. Leave the tray where it is and return when the health care provider arrives.
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1. Immunoglobulin A 2. Immunoglobulin M 3. Immunoglobulin E 4. Immunoglobulin D
Mrs. Griffin is a frail, elderly patient who has been admitted to the hospital for pneumonia. Which of the following factors is puts her at an increased risk for a pressure ulcer?
A. She has had a diet low in protein. B. She has been on a low sodium diet. C. She has an IV of lactated Ringers running at 120 mL/hr. D. She is being repositioned every 2 hours.