A client reports confusion about having an alcoholic drink prior to retiring for the evening. What information can the nurse provide to the client to promote understanding?
A) Alcohol can increase the time needed to fall asleep.
B) Alcohol is disruptive of the second half of the sleep cycle.
C) Alcohol can enable an individual to sleep through the entire night.
D) Alcohol has an initially depressant effect.
B
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A patient's wife believes that a mole on her husband's forehead has been growing in recent weeks, though the patient himself denies this. What is the most accurate way for the nurse to gauge the suspected growth of this skin lesion?
A) Facilitate a biopsy of the patient's mole. B) Ask the patient to measure the mole weekly. C) Have photographs taken of the mole at regular intervals. D) Outline the mole with ink once per week.
Which foods are needed for normal bowel elimination?
a. Milk b. Chocolate c. Fruits and vegetables d. Fried foods
The nurse is caring for a client who has been taking fluphenazine (Prolixin) for 2 days. The client suddenly cries out, his neck twists to one side, and his eyes appear to roll back in the sockets. The nurse finds the following PRN medications ordered for the client. Which one should the nurse administer?
a. Benztropine (Cogentin), 2 mg PO, bid, PRN b. Fluphenazine (Prolixin), 2 mg PO, tid, PRN c. Haloperidol (Haldol), 5 mg IM, PRN extreme agitation d. Diphenhydramine (Benadryl), 25 mg IM, PRN
The nurse is evaluating a patient to determine whether the endotracheal tube cuff is properly inflated. Which findings indicate proper inflation? (Select all that apply.)
a. Exhaled tidal volume is 50 mL less than the tidal volume set on the ventilator. b. Air leak is heard with a stethoscope only at the end of inspiration. c. The patient is able to vocalize. d. Gastric contents are noted in airway secretions.