A nurse is obtaining a history from a client who drinks about six cups of coffee and several diet cola drinks per day. The client states, "I just cut down my coffee and soda intake to one per day."
Which of the following would the nurse most likely expect to assess? Select all that apply.
A) Headache
B) Fatigue
C) Yawning
D) Flushing
E) Diuresis
Ans: A, B, C
The client's decreased intake of caffeine could lead to caffeine withdrawal, manifested by headache, drowsiness, fatigue, craving, impaired psychomotor performance, difficulty concentrating, yawning, and nausea. Flushing and diuresis would be characteristic of caffeine overdose.
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A patient's low prothrombin time (PT) was attributed to a vitamin K deficiency and the patient's PT normalized after administration of vitamin K. When performing discharge education in an effort to prevent recurrence, what should the nurse emphasize?
A) The need for adequate nutrition B) The need to avoid NSAIDs C) The need for constant access to factor concentrate D) The need for meticulous hygiene
Which of the following newborns would the nurse recognize as being most at risk for developing respiratory distress syndrome?
a. A 35-week-gestation female baby born vaginally 72 hours after the rupture of membranes b. A 36-week-gestation male baby born by cesarean delivery to a mother with insulin-dependent diabetes c. A 35-week-gestation male baby born vaginally to a mother addicted to heroin d. A 35-week-gestation female baby born vaginally to a mother who has pregnancy-induced hypertension
___ objectives of the search
Fill in the blank with the appropriate word.
Clients and health care providers often have beliefs about pain that can interfere with successful pain management. What is a common myth related to pain?
1. Clients in pain do not necessarily look and act as if they are in pain. 2. Clients can sleep even when experiencing pain. 3. Vital signs are reliable indicators of pain. 4. Clients rarely become addicted to pain medication.