To improve the quality of sleep for a confused client, the nurse would plan to

a. allow for 90 minutes of undisturbed rest.
b. give warm black tea at bedtime.
c. keep the client awake during the day.
d. routinely use sedative medications.


C
Plan nighttime interventions to allow 4 to 6 hours of uninterrupted sleep. Keep the client active during the day so that there is some fatigue by nighttime. Avoid the use of caffeinated beverages and alcohol, which may prevent sleep. Sleeping medications are seldom given to the confused client because they often alter sleep cycles and rob the client of rapid-eye-movement (REM) sleep.

Nursing

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A middle-aged homeless male experiencing severe abdominal pain comes into the emergency department of the community hospital. What should the nurse do for this individual?

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Which of the following patient goals is most appropriate when managing the patient dying of cancer? The patient will:

1) Request pain medication when needed. 2) Report or demonstrate satisfactory pain control. 3) Use only nonpharmacologic measures to control pain. 4) Verbalize understanding that it may not be possible to control his pain.

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Which of the following is a common adverse effect of benzodiazepines (BZDs)?

a. Mental depression b. Suicidal ideation c. Cardiac palpitations d. Daytime sedation

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The nurse is caring for a patient in the post anesthesia care unit (PACU). What is the nurse's priority responsibility for the patient while in this unit?

a. Monitoring urine output b. Maintaining a patent airway c. Administering pain medication d. Assessing readiness for discharge

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