The patient tells the home health nurse that he has flung himself out of bed three times in the course of a violent nightmare. What sleep disorder does the nurse suspect?
a. Myoclonus
b. Restless legs syndrome
c. Rapid eye movement (REM) sleep disorder
d. Epilepsy
ANS: C
REM sleep disorders excite excessive muscle activity during a nightmare, which causes the patient to thrash about to the point that he or she falls out of bed.
You might also like to view...
The nurse has been monitoring a patient's vital signs closely after initiating a transfusion of packed red blood cells (PRBCs). The nurse has observed that the patient's temperature is trending upward, and the patient is complaining of chills
The nurse has stopped the transfusion and informed the patient's health care provider, who believes that the patient is experiencing a febrile nonhemolytic transfusion reaction (FNHTR). What course of action should the nurse anticipate? A) Administering a bolus of normal saline B) Monitoring the patient closely and administering antipyretics C) Initiating apheresis and administering IV antihistamines D) Performing a stat cross-match and beginning a transfusion of the correct blood type
The nurse assesses that the 42-year-old patient who still lives with her parents and is dependent on them for decisions about her life is lacking in the mental health characteristic of:
1. reality orientation. 2. autonomous behavior. 3. spontaneity. 4. ethical decision making.
The ONC (Office of the National Coordinator for Health Information Technology) is best described as:
a. the principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information. b. the principal federal entity charged with promoting nationwide sales of advanced health information technology. c. a federal entity charged with increasing public awareness of the value of health information technology. d. a federal agency that regulates the contents and functions of health information technologies, including PHRs.
Immediately after the death of a client, family members should be:
A) escorted to a private area. B) allowed to spend time with the deceased. C) asked what they want to do. D) consoled by the hospital chaplain.