A nurse is obtaining assessment data from an older client about sleep patterns. The client reports that she has been awakening during the night, awakens early in the morning and is unable to fall back to sleep, and feels sleepy during the daytime. Based on the data, which action should the nurse take?
A. Report the findings to the health care provider
B. Document the findings in the medical record
C. Ask the health care provider for a prescription for a nighttime sedative
D. Encourage the client to consume stimulants such as caffeinated coffee or tea during the daytime hours
Ans: B. Document the findings in the medical record
You might also like to view...
A patient is undergoing a cytotoxic chemotherapy regimen for the treatment of stage III lung cancer. What effect will this regimen likely have on the patient's hemostatic function?
A) The patient's platelet count will decline. B) The patient will be at increased risk of deep vein thrombosis. C) The patient will require prophylactic heparin. D) The patient will likely experience thrombocytosis.
A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?
a. Assess the patient's ability to read and understand. b. Determine if the patient wants to take written material home. c. Give the patient the same material as other patients get. d. Ask the patient if he/she has a need for written material.
An older client has met the criteria for a diagnosis of major depressive disorder. The client does not respond to antidepressant medications. Which therapeutic intervention should a nurse anticipate will be ordered for this client?
1. Electroconvulsive therapy (ECT) 2. Neuroleptic therapy 3. An antiparkinsonian agent 4. An anxiolytic agent
A parent says, "My son and I argue constantly since he started using drugs. When I talk to him about not using drugs, he tells me to stay out of his business." What is the nurse's first most appropriate action?
a. Educate the parent about stages of family development. b. Report the son to law enforcement authorities. c. Refer the son for substance abuse treatment. d. Make a referral for family therapy.