Sundowner syndrome is characterized by which of the following that the nurse may observe in an older adult?
a. early morning confusion
b. oversleeping
c. nocturnal confusion
d. violent behavior after sundown
C
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A 29-year-old patient has just been told that he has testicular cancer and needs to have surgery. The surgery is scheduled for the following week
That afternoon, the patient calls the nurse and tells her he wants to cancel the surgery because he thinks he might be better off dead. The nurse asks him why he feels that way. The patient states "My wife won't want to have sex with me anymore. He says he feels like he's spoiled a happy, satisfying sex life with his wife and he starts to cry. Based on these statements, which nursing diagnosis would be most appropriate for creating a plan of care for this patient? A) Situational low self-esteem B) Inability to function C) Social isolation D) Risk for loneliness
The rehabilitation nurse is assisting a client with heart failure to increase activity tolerance. During ambulation of the client, identification of what symptom causes the nurse to stop the client's activity?
a. Decrease in oxygen saturation from 98% to 95% b. Respiratory rate change from 22 to 28 breaths/min c. Systolic blood pressure change from 136 to 96 mm Hg d. Increase in heart rate from 86 to 100 beats/min
A client has been prescribed penicillin (Penicillin G). Which serious adverse effect will the nurse monitor for upon assessment?
1. Bradycardia 2. Hemorrhage 3. Anaphylaxis 4. Tachycardia
The nurse is preparing to inspect the external genitalia of an obese female client. Which finding should the nurse be prepared to document?
A. Edematous labia. B. Reddened genitalia. C. Ecchymosis. D. Excoriated labia majora.