A nurse working the night shift assesses a client's vital signs at 4 a.m. (0340). What would be the expected findings, based on knowledge of NREM sleep?
A) Decreased TPR and BP
B) Increased TPR and BP
C) No change from daytime readings
D) Highly individualized, cannot predict
Ans: A
Throughout the stages of NREM sleep, the parasympathetic nervous system dominates; decreases in temperature, pulse, respirations, and blood pressure occur.
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Because of this, the nurse is aware that the patient may need to increase her daily intake of what? A) Vitamin C B) Vitamin D C) Iron D) Magnesium
The purpose of the debriefing process is:
a. to provide additional lecture time. b. to provide time for the facilitator to critique the student's performance. c. to promote self-reflection. d. to provide time for participants to critique other participants' performances.
A school nurse is screening children for scoliosis. Which assessment findings should the nurse expect to observe for scoliosis? Select all that apply
a. Pain with deep palpation of the spinal column b. Unequal shoulder heights c. The trouser pant leg length appears shorter on one side d. Inability to bend at the waist e. Unequal waist angles
A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
a. The number of questions asked on the assessment tool b. The linkages of the assessment to Healthy People 2020 c. The amount of involvement that the family has in completing the tool d. The capability of the tool to assess goals and outcomes