The nurse observes a patient's respirations during sleep and notes the absence of respirations for periods lasting from 15 to 45 seconds. This finding is consistent with which condition?
1. Laryngeal spasm
2. Sleep apnea
3. Respiratory acidosis
4. Renal failure
2
Rationale 1: No symptoms of laryngeal spasm are noted.
Rationale 2: Manifestations of obstructive sleep apnea include: loud, cyclic snoring; periods of apnea that lasts over 10 seconds during sleep; gasping or choking during sleep; restlessness and thrashing during sleep; daytime fatigue and sleepiness; morning headache; personality changes; depression; intellectual impairment; impotence; and hypertension.
Rationale 3: A diagnosis of respiratory acidosis requires laboratory evaluation.
Rationale 4: No symptoms of renal failure are described.
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The nurse is planning to discharge a child newly diagnosed with HIV infection. Which discharge instruction should be included for this child and her family?
1. Eat raw fruits. 2. Avoid playing sports. 3. Restrict school attendance. 4. Cover open wounds.
The nurse working in a physician's office admits a teen boy for a physical examination who was accompanied to the office by his mother. The nurse's best action is to:
1. Ask the adolescent if he would like his mother to accompany him to the examination room. 2. Instruct the mother that she will not be allowed in the exam room, but can join her son when the doctor has finished the exam. 3. Ask the mother if she wants to accompany her son to the examination room. 4. Allow the mother and son to reach their own decision without interfering.
A nurse is meeting with community stakeholders to review a cultural community assessment. The nurse has been sent to this town to address rising tobacco use and to help the community find ways to encourage quitting
The community is a very small town without primary caregivers and other support systems in place. Which of the following is the best intervention for this town? A. Provide free bussing into the nearest town so community members can attend tobacco cessation support groups. B. Train local community members about running smoking cessation support groups and individual support services. C. Host a community fair to disseminate information about the dangers of smoking. D. Pass a law forbidding smoking in public places.
Antioxidants are thought to offer a protective effect against cancer. The nurse teaches clients that which beverage also increases longevity and mental alertness, and provides a mild diuretic effect?
1. Orange pekoe 2. Echinacea 3. Black tea 4. Green tea