A patient reports taking melatonin daily. Which aspect of the patient's health and function would be most important for the nurse to assess?
a. Urinary and bowel elimination
b. Energy and activity tolerance
c. Sleep hygiene and patterns
d. Memory and cognition
C
Melatonin is used to reduce sleep-onset latency and decrease the number of nocturnal awakenings. The nurse should assess the patient's sleep patterns and hygiene. It does not directly relate to the aspects of function identified in the distracters.
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Which instruction by the nurse is inappropriate for teaching the proper technique for collection of a sputum specimen?
a. Bring the sputum up from the lungs b. Rinse mouth with water before expectorating in specimen cup c. Collect specimens before meals d. Send specimen to the lab without delay
Patient outcomes should be written as
a. broad statements without end points. b. realistic, measurable statements. c. a means of increasing patient knowledge. d. follow-ups to patient goals.
The nurse reviews the use of cranberry juice to prevent urinary tract infections. What additional information should the nurse emphasize with this client?
a. Probiotic dietary supplements b. Eating yogurt daily if possible c. Adequate fluid intake and proper personal hygiene d. Integrating cranberry containing products into the diet
The nurse is most concerned about which assessment finding in an older client with sleep apnea?
1. The client's body mass index is 48.7. 2. The client takes a sleeping medication at night. 3. The client has a family history of sudden death. 4. The client has added pillows for sleep at night.