A nurse who works night shift says, "I am exhausted most of the time. I sleep through my alarm. Sometimes my brain does not seem to work right. I am worried that I might make a practice error." Which question should the nursing supervisor ask first?
a. "What stress are you experiencing in your life?"
b. "How much sleep do you get in a 24-hour period?"
c. "Would it help if you do some exercises just before going to bed?"
d. "Have you considered using a hypnotic medication to help you sleep?"
ANS: B
Total sleep hours should be ascertained before seeking to correct a sleep disorder. In this case, the patient describes sleep deprivation symptoms rather than a sleep disorder. The correct response is the only option that addresses total sleep hours.
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In comparison to contraction stress tests (CSTs), the nonstress test (NST) for antepartum fetal assessment:
a. Has no known contraindications. b. Has fewer false-positive results. c. Is more sensitive in detecting fetal compromise. d. Is slightly more expensive.
From a Unitary Science perspective, nursing diagnoses are considered particularistic and reductionistic labels describing cause and effect (i.e., "related to") relationships inconsistent with a "nonlinear domain without spatial or temporal attributes
Indicate whether this statement is true or false.
Identify the element that is not commonly found in information science
a. Data or tasks that are processed b. Configuration and architecture of the computer system c. How problems are solved d. Where products are produced
B.K. is a 63-year-old woman who is admitted to the step-down unit from the emergency department (Ed)with nausea and vomiting (N/V) and epigastric and left upper quadrant (LUQ) abdominal pain that issevere, sharp, and boring and radiates through
to her mid back. The pain started 24 hours ago and awoke her in the middle of the night. B.K. is a divorced, retired sales manager who smokes a half-pack of cigarettes daily. The Ed nurse reports that B.K. is anxious and demanding. B.K. denies using alcohol. Her vital signs (Vs) are as follows: 100/70, 97, 30, 100.2° F (37.9° C) (tympanic), spo2 88% on room air and 92% on 2 L of oxygen by nasal cannula (NC). she is in normal sinus rhythm. she will be admitted to the hospitalist service. she has no primary care provider (PCP) and has not seen a physician "in years." The Ed nurse giving you the report states that the admitting diagnosis is acute pancreatitis of unknown etiology. A computed tomography (CT) scan has been ordered, but unfortunately the CT scanner is down and will not be fixed until morning. However, an ultrasound of the abdomen was performed, and "no cholelithiasis, gallbladder wall thickening, or choledocholithiasis was seen. The pancreas was not well visualized due to overlying bowel gas." Admission labs have been drawn; a clean-catch urine specimen was sent to the lab, and the urine was dark in color. What are the possible causes of pancreatitis?