The nurse is caring for a client experiencing recurrent periods of sleep during the day that the client cannot control. The nurse is aware that the treatment for this condition includes which of the following? (Select all that apply.)
a. avoid substances that cause sleepiness
b. short daytime naps
c. sleeping alone
d. avoid activities that cause sleepiness
e. exercise prior to bedtime
f. stimulant medications may be prescribed
A, B, D, F
Narcolepsy consists of recurrent periods of sleep during the day that cannot be controlled by the person experiencing them. Sleep "attacks" can occur unpredictably and last varying amounts of time; these attacks are frequently accompanied by sudden loss of muscle control (cataplexy), which can result in falling. People who have narcolepsy frequently get adequate nighttime sleep. A nurse can assist the client who has narcolepsy by suggesting that the client take short daytime naps and avoid activities or substances that cause sleepiness. Stimulant medications may be prescribed.
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A mother is concerned because the anterior fontanelle swells when the newborn cries. What would the nurse include in her teaching to a new mother about the normal findings concerning the fontanelles? Select all that apply
1. The fontanelles can swell with crying. 2. The fontanelles might be depressed. 3. The fontanelles can pulsate with the heartbeat. 4. The fontanelles might bulge. 5. The fontanelles can swell when stool is passed. Correct
The mother of a 20-month-old boy tells the nurse that he has a barking cough at night. His temperature is 37° C (98.6° F). The nurse suspects mild croup and should recommend which intervention?
a. Admit to the hospital and observe for impending epiglottitis. b. Provide fluids that the child likes and use comfort measures. c. Control fever with acetaminophen and call if cough gets worse tonight. d. Try over-the-counter cough medicine and come to the clinic tomorrow if no improvement.
Which of the following is an accurate description of the physiologic defect caused by anemia?
1. Presence of abnormal hemoglobin 2. Decreased oxygen carrying capacity of blood 3. Increased blood viscosity 4. Depressed hematopoietic system
A nurse receives an order for clonidine (Catapres) for a 25-year-old pregnant woman. What is the nurse's priority action?
A) Weigh the patient to obtain correct dose/kg/day. B) Have a second nurse check the dose before administering the drug. C) Consult with the physician about the order. D) Make sure the patient is wearing a fetal monitor.