The nurse determines that an older patient is in stage II of sleep. What did the nurse observe in this patient? (Select all that apply.)
A) Relaxed muscles
B) Easily awakened
C) Rapid respirations
D) Difficult to awaken
E) Minor eye movement seen
B, E
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In stage II of sleep the person will be easily awakened and will have some eye movement noted through closed lids. Relaxed muscles occur in stage III of sleep. Difficulty awakening occurs in stages III and IV of sleep. Rapid respirations might occur during REM sleep.
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A 7-month-old infant is admitted to the hospital with a diagnosis of acute gastroenteritis. What will be the nurses's priority goal of the infant's care?
a. Prevent fluid and electrolyte imbalance. b. Prevent nutritional deficiency. c. Prevent skin breakdown. d. Prevent malabsorption.
A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate immunizations. What should the nurse recommend to this client?
1. The client should have a tetanus booster if the client has not had one within the last 5 years. 2. The client should have the hepatitis B immunization series. 3. The client should receive a meningococcal vaccine if the client did not receive one as a teen. 4. The client should not worry about immunizations, as they are not recommended for this age group.
A nurse has collected data related to a new client admitted 4 hours ago. The nurse has been assigned the task of writing the nursing care plan. The nurse has analyzed data regarding the client's chief concern
Which would the nurse include in the diagnosis? A) Identification of the disease B) The medical treatment plan C) Identification of the nursing care problem D) The cause of the disease
The nursing assistant is not responsible for washing the client's laundry in the home.
Answer the following statement true (T) or false (F)