Some workplace strategies that nurses can utilize to help prevent fatigue are listed below. Which is not necessarily correct?
a. Stay up 24 hours when you are switching from a day to night shift.
b. Take an uninterrupted 15-minute break every four hours.
c. Rotate shift work clockwise when possible: days, evening, nights.
d. Share a ride home or use public transportation.
A
There are a number of tips to help nurses prevent fatigue in the workplace. Some of these include
adequate sleep, nutrition, and proper exercise. Others include taking an uninterrupted 15-minute break
every four hours, rotating shift work clockwise when possible: days, evening, nights (not staying up 24
hours when switching from day to night shift as this can be the equivalent of a blood alcohol level of
0.10%), sharing a ride home or using public transportation, joining the safety committee at work, and
trying to build in a sanctioned short nap when working the night shift.
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After teaching a client who is prescribed "voice rest" therapy for vocal cord polyps, a nurse assesses the client's understanding. Which statement indicates the client needs further teaching?
a. "I will stay away from smokers to minimize inhalation of secondhand smoke." b. "When I speak, I will whisper rather than use a normal tone of voice." c. "For the next several weeks, I will not lift more than 10 pounds." d. "I will drink at least three quarts of water each day to stay hydrated."
A patient has just had a liver biopsy. Immediately following this procedure, the nurse should:
a. assist the patient up to a chair. b. keep the patient on his or her left side. c. assist the patient with ambulation. d. tell the patient to avoid coughing.
A toddler is displaying signs and symptoms of weakness and muscle atrophy
The pediatric neurologist suspects it may be a lower motor neuron disease called spinal muscular atrophy (SMA). The patient's family asks how he got this. The nurse will respond A) "This could result from playing in soil and then ingesting bacteria that are now attacking his motor neurons." B) "No one really knows how this disease is formed. We just know that in time, he may grow out of it." C) "This is a degenerative disorder that tends to be inherited as an autosomal recessive trait." D) "This is a segmental demyelination disorder that affects all nerve roots and eventually all muscle groups as well."
A nurse is performing a breast examination of a client who complains of pain in both breasts that occurs around the time of her menstrual period. The nurse expects which findings during the breast examination?
a. Masses in the breasts that are round, soft, mobile and well-delineated b. Masses in the breasts that are round, firm, mobile, and well-delineated c. Masses in the breasts that are irregular, hard, and fixed d. Breast tissue that is red, edematous, tender, and warm to the touch