A patient tells you that she has trouble falling asleep at night, even though she is very tired. A review of symptoms reveals no physical problems and she takes no medication
She has recently quit smoking, is trying to eat healthier foods, and has started a moderate-intensity exercise program. Her sleep history reveals no changes in bedtime routine, stress level, or environment. Based on this information, the most appropriate nursing diagnosis would be Disturbed Sleep Pattern related to:
1) Increased exercise.
2) Nicotine withdrawal.
3) Caffeine intake.
4) Environmental changes.
ANS: 2
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During an abdominal assessment, the nurse tests for a fluid wave. A positive fluid wave test occurs with:
a. Splenomegaly. b. Distended bladder. c. Constipation. d. Ascites.
As per the physician's orders, a nurse is placing two electrodes on a client's lower back to perform transcutaneous electrical nerve stimulation (TENS). The nurse spaces the electrodes at least the width of one from the other on the client's skin
Which of the following reasons explains the nurse's action? A) Prevents the potential for burning the skin B) Promotes the integrity of the skin C) Prevents premature stimulation of the skin D) Provides wider and deeper stimulation
The recommended method for spreading cells from the Cytobrush onto the slide is to
a. lightly brush the slide. b. press the Cytobrush down firmly on the slide. c. use a rolling motion. d. wipe the Cytobrush back and forth.
When a teen asks the nurse if tattoos are safe, the nurse's best response would be:
a. "Tattoos are not professional, and you should not get one.". b. "All tattoo parlors use sterile needles and gloves, and you don't need to worry.". c. "There is a risk for tetanus, HIV, and hepatitis B if proper precautions are not taken.". d. "Tattoos are only appropriate for boys. Nice girls shouldn't get one.".