A patient's nursing diagnosis is Insomnia. The desired outcome is: "Patient will sleep for a minimum of 5 hours nightly by October 31."
On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. Which evaluation should be documented?
a. Consistently demonstrated
b. Often demonstrated
c. Sometimes demonstrated
d. Never demonstrated
ANS: D
Although the patient is sleeping 6 hours daily, the total is not in one uninterrupted session at night. Therefore the outcome must be evaluated as never demonstrated.
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A patient has been found to have an indolent neoplasm. The nurse should recognize what implication of this condition?
A) The patient faces a significant risk of malignancy. B) The patient has a myeloid form of leukemia. C) The patient has a lymphocytic form of leukemia. D) The patient has a major risk factor for hemophilia.
Control groups in experiments are used to:
A. provide a comparison for the effect of the independent variable. B. test for an alternative causal connection. C. eliminate bias. D. provide external validity.
A patient who is complaining of heaviness in his scrotum has learned that his serum lactate dehydrogenase level is elevated. A single painless lump is palpated in the patient's scrotum. How would the nurse evaluate these results?
1. The patient needs more diagnostic tests for testicular cancer. 2. The patient has testicular cancer. 3. The patient does not have testicular cancer. 4. The patient has a spermatocele.
Which disorder is a dysfunction of cell-mediated immunity?
a. Acute idiopathic polyneuritis b. Acquired immunodeficiency syndrome c. Epstein-Barr virus (EBV) mononucleosis d. Systemic lupus erythematosus (SLE)