A newly admitted 72-year-old resident of a long-term care facility naps frequently during the day, stating that he is tired. What is the best action by the nurse?
a. Obtain an order from the primary care-giver for a sedative.
b. Ask the patient if he is sleeping well at night.
c. Plan activities to keep the patient awake during the day.
d. Tell the patient that he cannot take any more naps.
B
Determining if or the reason why the patient is not sleeping at night will help the nurse implement the appropriate nursing actions. Depression may be interfering with adapting to the long-term facility.
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A nurse needs to bathe and clean the fractured arm of a client with a bivalved cast. Which of the following actions is most suitable when removing a bivalved cast?
A) Remove both halves of the cast sequentially. B) Remove one half of the shell. C) Obtain a sharply defined x-ray of the arm. D) Assess the fingers for blood circulation.
A client has just been diagnosed with glaucoma. What teaching should the nurse include with this client?
A) How long they have to wear dark glasses B) Maintain regular bowel habits C) What vegetables to eat D) When they can read again
You are caring for a patient who is scheduled for a gastroscopy. What preparation is needed for a gastroscopy?
A) Insert a nasogastric tube. B) Administer a micro Fleet enema. C) Have the patient lie in a dorsal position. D) Spray or gargle the back of the throat with local anesthetic.
Which actions would help the nurse develop a relationship with specialty genetics services in his or her practice area?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Identify the providers that are in the area. 2. Make contact with the providers before services are required. 3. Ask to visit the clinic and set in on several client visits. 4. Contact the providers periodically to establish an ongoing working relationship. 5. Respond promptly and professionally to any contacts initiated by the specialty providers.