A patient with a hyperthyroid complains of fatigue but still cannot get to sleep. What is the best suggestion by the nurse?
a. Taking "cat naps" during the day
b. Adhering to a bedtime ritual
c. Drinking a cup of cocoa before bedtime
d. Performing mild prebedtime exercises
B
Bedtime rituals such as a warm bath, reading, and listening to music cue the body for sleep. Naps during the day may make nighttime sleep difficult; exercising and drinking caffeine-filled drinks are stimulating and should be avoided by the person with insomnia.
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A raped client answers a nurse's questions in a monotone voice with single words, appears calm, and exhibits a blunt affect. How should the nurse interpret this client's responses?
1. The client may be lying about the incident. 2. The client may be experiencing a silent rape reaction. 3. The client may be demonstrating a controlled response pattern. 4. The client may be having a compounded rape reaction.
An example of artificially acquired active immunity is:
1. developing chickenpox as a child. 2. developing measles as an adult. 3. receiving a PPD yearly. 4. receiving prophylactic vaccines.
A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse goes to attach the IV tubing port to the solution bag, the tubing drops, hitting the top of the medication cart. Which action should the nurse take to maintain asepsis?
A. Obtaining new IV tubing B. Obtaining a new IV solution bag C. Scrubbing the tubing port with an alcohol swab D. Wiping the tubing port with povidone-iodine solution (Betadine)
N.H., an 89-year-old widow, recently experienced a left-sided cerebrovascular accident (CVA). She has
right-sided weakness and expressive aphasia with minimal swallowing difficulty. N.H. has a past medical history of a minor left-sided CVA 2 ½ years ago, chronic atrial flutter, and hypertension. She has lived with her daughter's family in a rural town since her previous stroke. Since admission to an acute care facility 5 days ago, N.H. has gained some strength, has become oriented to person and place, and is anxious to begin her rehabilitation program. She is transferred for rehabilitation to your skilled nursing facility with the orders shown in the chart. What laboratory orders would you anticipate as a result of this specific list of orders? With each response, describe your rationale.