The nurse is beginning a sleep assessment on a patient. Which of the following would be the most appropriate question to ask?
a. "What is going on?"
b. "How are you sleeping?"
c. "Are you taking any medications?"
d. "What did you have for dinner last night?"
ANS: B
Asking patients how they are sleeping is an introductory question. After this beginning question is asked, problems with sleep such as the nature of the problem, signs and symptoms, onset and duration of the issue, severity, predisposing factors, and the effect on the patient can be assessed. What is going on is too broad and open ended for information about sleep to be obtained specifically. Medications and food intake can be part of the detailed assessment of sleep issues.
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a. Make no special preparations before the examination. b. Push oral fluids before the examination. c. Have the patient fast after the procedure. d. Assess the patient for an allergy to iodine before the examination.
A parent of a child who has been having frequent bouts of tonsillitis brings the child back to the clinic for another sore throat. The parent asks the nurse, "What are tonsils good for anyway?" What is the best response by the nurse?
A) "They really do not have a function and should be removed." B) "These tissues filter bacteria from tissue fluid." C) "The tissue acts as an emergency reservoir of blood." D) "The tissue removes blood and bacteria."
Which remarks by a 72-year-old patient should prompt the nurse to assess for depression? Select all that apply
a. "Lately I have had a lot of aches and pains and just haven't felt very well." b. "My appetite is better than usual, and I am sleeping about 9 hours a night." c. "People are in and out of my room all day and all night taking my things." d. "Don't ask me to eat. I can't because my stomach is upset all the time." e. "Life is more organized now that I don't live in my own home."
Vascular dementia is thought to be caused by:
A) An infection caused by a prion. B) A fever. C) A response to multiple medications. D) Ischemic vascular disease.