A 73-year-old male client who normally sleeps on his right side recently underwent a right-side hip replacement surgery and now has trouble sleeping. One of the interventions that the nurse might try with this client is to:
1. Request medication to help the client sleep while in the hospital
2. Carefully prop the client on his operative side using pillows to support the hip
3. Schedule therapy for the evening to help the client become tired so he can sleep
4. Question the client to learn more about his normal sleep pattern
ANS: 4
Knowing a client's usual, preferred sleep pattern allows a nurse to try to match sleeping condi-tions in a health care setting with those in the home.
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The prenatal clinic nurse is responding to a client who has had an assessment for fetal well-being. Which statement indicates that the client understands the test result?
1. "The normal Doppler velocimetry wave result indicates my placenta is getting enough blood to the baby." 2. "The reactive non-stress test means that my baby is not growing because of a lack of oxygen." 3. "Because my contraction stress test was positive, we know that my baby will tolerate labor well." 4. "My biophysical profile score of 6 points to everything being normal and healthy for my baby."
Chlorambucil has been ordered for a patient with Hodgkin's disease. The patient's son asks the nurse what adverse effects this drug has. What will the nurse include when responding to this question? (Select all that apply.)
A) Tremors B) Muscle twitching C) Confusion D) Gynecomastia E) Alopecia
The nurse assigned to implement a critical incident stress debriefing for a group who responded to a
plane crash disaster scene must correctly organize the elements of the debriefing for maximal effectiveness. Put the following elements in the order in which they should occur after an explanation of the purpose and ground rules of the meeting have been given. A. Ask each person to tell of his or her involvement in the incident. B. Review the material discussed, then ask how closure should proceed. C. Ask participants to discuss their first thoughts of the incident. D. Ask participants to describe cognitive, physical, and emotional/behavioral symptoms experienced at the scene and symptoms experienced after the initial experience. E. Acknowledge and affirm the normality of expressed symptoms; offer anticipatory guidance. F. Encourage discussion of the worst thing about the incident, what is painful, and what participants would like to forget.
An infertile patient has received two 5-day courses of clomiphene [Clomid] to help her conceive. An ultrasound 1 week after the last dose reveals that follicular maturation has occurred without ovulation
The nurse expects the next step for this patient to be: a. administration of human chorionic gona-dotropin (hCG). b. an order for cabergoline to be given twice weekly. c. evaluation of ovarian and pituitary func-tion. d. repeating clomiphene once daily for 5 days.