A patient reports difficulty falling asleep and staying asleep every night and has difficulty staying awake during the commute to work every day. The NP should:
a. suggest the patient try diphenhydramine first.
b. perform a thorough history and physical examination.
c. teach about avoiding caffeine and good sleep hygiene.
d. suggest melatonin and consider prescribing Ambien if this is not effective.
B
Before treating insomnia with drug therapy, it is important first to rule out any physiologic causes of a sleep disorder. The other interventions may be tried if no serious cause of the disorder is found.
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Especially when working with mentally or emotionally troubled clients, a caregiver's biggest challenge can be helping them to ____ the treatment plan
1. know about 2. comply with 3. understand 4. complain about
Caroline asks family members to leave while she cares for the 16-year-old victim of a recent car accident
The father screams at her and tells her that she has no right to ask his family to leave, and that if she continues to do so, he will "throw her out of the room." Caroline is shaken and tells her head nurse, who tells her that this kind of thing is just part of the job. The guidance of the head nurse: a. Is reasonable. No physical violence was involved. b. Is related to why statistics on violence in health care are likely underreported. c. Acknowledges the deep distress and fear of the family. d. Acknowledges the concern of the nurse.
A group of concepts and propositions that describe linkages between the concepts is a
a. conceptual model. b. metaparadigm. c. philosophy. d. theory.
Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin) include which of the following?
1. Massaging eyelids gently following application 2. Irrigating eyes after instillation 3. Using a syringe to apply ointment 4. Instillation is in the upper conjunctival surface of each eye