You are the nurse working with a client who complains of not sleeping well, waking up several times during the night, and not feeling rested in the morning. You will likely write a nursing diagnosis of:
a. Sleep-Pattern Disturbance
b. Intermittent Sleep Pattern
c. Restless Sleep Pattern
d. Impoverished Sleep Pattern
A
Because the client complains of not sleeping well, waking up several times during the night, and not feeling rested in the morning, a nursing diagnosis of Sleep Pattern Disturbance would be used.
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The nurse applies an aquathermia heat pack to the client's right leg and removes it after no more than 45 minutes. What is the nurse trying to avoid by completing this action?
1. Vasodilation 2. Rebound phenomenon 3. Heat tolerance 4. Systemic effects
To which question should the answer "yes" from an elderly client prompt the nurse to include the
Geriatric Depression Scale as part of the assessment? a. "Would you say your mood is often low?" b. "Do you often experience moderate to severe pain?" c. "Have you noticed an increase in your alcohol use?" d. "Are you having any trouble with your memory?"
To estimate heart size by percussion, you should begin tapping at the:
a. anterior axillary line. b. left sternal border. c. midclavicular line. d. midsternal line.
Which of the following individuals observed that noise, food, rest, light, fresh air, and cleanliness were instrumental in health and illness patterns?
a. W. Edwards Deming c. Isabel Hampton Robb b. Florence Nightingale d. Dorothea Dix