A nurse has been temporarily assigned to the night shift. A change in this circadian rhythm may cause which of the following? (Select all that apply.)
a. Anxiety
b. Weight gain
c. Decreased appetite
d. Increased periods of sleep
e. Impaired judgment
A, C, E
When the sleep-wake cycle becomes disrupted (e.g., by working rotating shifts), other physiological functions change as well. For example, a new nurse who starts working the night shift experiences a decreased appetite and loses weight, not weight gain. Anxiety, restlessness, irritability, and impaired judgment are other common symptoms of sleep cycle disturbances. Decreased, not increased, periods of sleep can occur. Failure to maintain an individual's usual sleep-wake cycle negatively influences the person's overall health.
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The nurse is caring for a patient who has an ankle with acute inflammation. Which of the following statements is true regarding acute inflammation?
A) It is the same as infection. B) It may impair the healing process. C) It is a defensive reaction intended to remove an offending agent. D) It inhibits the release of histamines in the tissues.
Which of the following clients likely faces a risk for the nursing diagnosis of Disturbed Sleep Pattern: Difficulty Remaining Asleep?
A) A client who receives IV antibiotics every three hours B) A client whose opioid analgesics result in central nervous system depression C) A client who is receiving corticosteroids that make her feel restless and agitated D) A client whose physical therapy has been scheduled in the late evening
The nurse has just completed programming of a patient-controlled analgesia (PCA) pump using prescribed parameters. Which of the following actions should you take next?
A) Verify the settings with another nurse. B) Document implementation of the PCA on the client's chart. C) Attach the PCA pump tubing to the client's intravenous access device. D) Check the pump's electrical cords for cracks, splits, or fraying.
Which is a side effect of radiation therapy?
a. Weight gain b. Burns at the radiation site c. Skin growth at the radiation site d. Tumor formation at the radiation site