The nurse is preparing to discuss the management of the sleeping disorder narcolepsy
In addition to the prescription of stimulants and antidepressants, which of the following non-pharmaceutical strategies should be included and shared with the client? (Select all that apply.)
1. Wine with meals
2. Regular use of a sauna
3. Light but high-protein meals
4. Regular use of chewing gum
5. Adoption of a regular exercise routine
6. Brief daytime naps of 20 minutes or less
ANS: 3, 4, 5, 6
Narcoleptics may be helped by brief daytime naps no longer than 20 minutes, a regular exercise program, avoiding shifts in sleep, eating light meals high in protein, practicing deep breathing, chewing gum, and taking vitamins. Clients with narcolepsy need to avoid factors that increase drowsiness (e.g., alcohol, heavy meals, exhausting activities, long-distance driving, and long pe-riods of sitting in hot, stuffy rooms).
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A nurse on the oncology unit is caring for a patient with an astrocytoma. The patient has just been told that the tumor is growing very fast. The patient asks the nurse how these tumors grow. What is the nurse's best response?
A) "Brain tumors infiltrate the surrounding tissue." B) "Brain tumors grow by invading the surrounding grey matter." C) "Brain tumors grow by invading the surrounding white matter." D) "Brain tumors spread down the spinal cord."
The nurse is admitting a patient who is 12 weeks pregnant and an IV drug user. She has had a number of sexual partners, complains of malaise, and has yellow in the eyes, nausea, and vomiting
Having obtained this history, the nurse suspects that the patient has: Select all that apply. 1. Hepatitis E. 2. Hepatitis C. 3. Gonorrhea. 4. Hepatitis A.
The school nurse has identified several children who rarely spend time with either parent in the evening after school. What issues does the nurse realize as contributors to this trend? (Select all that apply.)
A) Both parents work B) Children preoccupied with school work C) Television is substituted for conversation D) Children participate in many after-school activities E) Meals are eaten at different times by family members
You are preparing a report on obesity using the web of causation model
Using your knowledge that the technique of mapping the web of causation can help the community health or public health nurse identify multiple determinants of a community health problem, you know that some factors have a direct impact on health behaviors and other factors are more subtle and outside the control of the individual that contribute to a chronic issue. What is an example of a factor that has a direct impact on health behaviors that contribute to obesity? A) Food marketing B) Food manufacturing C) Subsidies provided by soft drink manufacturers for placing vending machines in schools D) Amount of physical activity and types and amounts of food eaten