As the nurse obtains a general sleep history from a newly admitted client, the client reports several parasomnias, including: Standard Text: Select all that apply
1. Somnambulism.
2. Bruxism.
3. Narcolepsy.
4. Sleep apnea.
5. Sleep deprivation.
1,2
Rationale: Somnambulism is sleepwalking, which is a behavior that interferes with sleep.
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An 83-year-old stroke patient is exhibiting urinary incontinence. The nurse knows that various factors alter elimination patterns in older patients. Which of the following is an example of these factors?
A) Decreased residual volume B) Increased muscle tone C) Increased bladder capacity D) Decreased muscle tone
While awaiting the health care provider's arrival in a precipitate birth, which of these actions should the nurse take first?
a. Hold the fetal head back by telling the mother to keep her legs together. b. Dry the baby immediately. c. Check for presence of a nuchal cord. d. Suction the baby's nose.
A postmenopausal female client has had two episodes of bacterial urethritis in the last 6 months. She asks her nurse why this is happening to her now. Which is the nurse's best response?
a. "Your immune system becomes less ef-fective as you age." b. "Low estrogen levels can make the tissue more susceptible to infection." c. "You should be more careful with your personal hygiene in this area." d. "It is likely that you have an untreated sexually transmitted infection."
The client tells you that he usually expectorates about 2 ounces of thin, clear, colorless sputum each day, mostly in the morning after getting out of bed. What is your best action?
A. Ask the client to produce some sputum now into a clean specimen container for laboratory analysis. B. Obtain a sterile specimen of the sputum for culture. C. Document the report as the only action. D. Notify the physician.