The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to sleep problems?
a. Exposure to sun-light c. Use of a sleep aid
b. Polypharmacy d. Decreased fluid in-take
B
Polypharmacy contributes to sleep problems as a result of medication side effects and drug inte-ractions. Decreased exposure to sunlight contributes to sleep problems. Sleep aids may assist with sleep issues. Decreased fluid intake may lead to dehydration, which may result in lethargy.
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A patient says, "My physician thinks I may have psoriatic arthritis, but there is nothing wrong with my skin.". How should the nurse respond?
1. "You must have a subclinical case of psoriasis.". 2. "You will probably develop skin eruptions in a few years.". 3. "Not all people with psoriatic arthritis also have psoriasis.". 4. "There are other arthritis conditions that have similar laboratory values, so additional testing will be likely.".
A physician shares with the patient's family that, while a central line was being inserted, the patient's lungs were inadvertently punctured, which required oxygen administration
The physician also explains that a chest x-ray indicated the lung remained intact and no additional treatment was required. The physician's role in this instance is based on the legal principle of: a. comparative negligence. b. gross negligence. c. disclosure. d. the Emergency Medical Treatment and Active Labor Act (EMTALA).
A female client has a serum calcium level of 7.2 mg/dl. During the physical examination, nurse Noah expects to assess:
a. Trousseau's sign. b. Homans' sign. c. Hegar's sign. d. Goodell's sign.
A nurse should never discharge a neonate from the hospital unless:
a. an infant car seat is available for the trip home b. a male neonate has been circumcised c. the family has a plastic crib for the neonate d. the neonate has several formed stools