A client complains of frequent insomnia, affecting ability to rest well. Which of the following factors or lifestyle choices is MOST likely to contribute to the client's inability to sleep?
a. having a light snack at bedtime
b. taking 1 baby aspirin each day
c. reading in bed prior to going to sleep
d. smoking 1/2 pack of filtered cigarettes each day
D
Insomnia, the inability to fall asleep or the experience of sleep that is interrupted by periods of wakefulness, is not a disease but may be a manifestation of various illnesses. The causes of insomnia include stress, depression, alcohol or caffeine consumption, pain, poor sleep habits, and changes in sleep patterns (e.g., travel, rotating work shifts).
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A student nurse observing in the operating room notes that the functions of the Certified Registered Nurse First Assistant (CRNFA) include which activities? (Select all that apply.)
a. Dressing the surgical wound b. Grafting new or synthetic skin c. Reattaching severed nerves d. Suctioning the surgical site e. Suturing the surgical wound
To assess the functioning of the trigeminal and facial nerves (CNs V and VII), the nurse should
a. shine a light into the patient's pupil. b. check for unilateral eyelid drooping. c. touch a cotton wisp strand to the cornea. d. have the patient read a magazine or book.
A 79-year-old white male tells a nurse, "I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing." The nurse should analyze this comment as:
a. normal pessimism of the elderly. b. evidence of risks for suicide. c. a call for sympathy. d. normal grieving.
In inspecting the eyes and ears of an infant, the nurse documents which finding as normal?
a. The external ear is in direct line with the outer margin of the eyelid. b. The ear lobe is within 10° alignment with the outer margin of the eyelid. c. A lateral upward slant of the eyes aligns them with the helix of the ear. d. The inner margin of the eye is directly aligned with the helix of the ear.