A nurse is caring for a person who has a diagnosis of Sleep disturbance related to stress as evidenced by excessive daytime fatigue. Which of the following nursing interventions would most likely to assist this person?
a. Encourage daytime naps.
b. Encourage exercise one hour before bedtime.
c. Encourage a cool shower before bedtime.
d. Encourage a consistent sleep-wake schedule.
Answer: d. Encourage a consistent sleep-wake schedule.
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A nurse has admitted a patient diagnosed with severe combined immunodeficiency disease (SCID) to the unit. The patient's orders include IVIG. How will the patient's dose of IVIG be determined?
A) The patient will receive 25 to 50 mg/kg of body weight. B) The dose will be determined by the patient's response. C) The dose will be determined by body surface area. D) The patient will receive a one-time bolus followed by 100- to 150-mg doses.
The nurse is sitting in on an Alcoholic Anonymous (AA) meeting clients on a behavioral health unit. Which decision-making methods used by the group indicates the group is functioning effectively?
Select all that apply. A) The expertise of group members is being used. B) The group atmosphere is positive. C) Members feel satisfied with their participation. D) The group listens to the ideas of certain group members. E) The discussion focuses on all problems brought by group members.
The nurse is preparing to document care provided to a client. The major reason for accurate and thorough documentation of nursing care rendered and the client's response to interventions is because documentation:
a. is required for accreditation and reimbursement. b. prevents lawsuits. c. is required if a client sues. d. is a long-held custom.
Which are early signs of hypoglycemia in the newborn for which the nurse should assess? (Select all that apply.)
a. Jitteriness b. Poor feeding c. Respiratory difficulty d. An increase in temperature e. A capillary refill of 2 seconds