The 80-year-old man complains that when he goes to bed and cannot fall asleep, he becomes very upset. What would be an appropriate suggestion for when he has not fallen asleep within 30 minutes?
a. Take two tablets of a sedative medication.
b. Get up and do a mild stretching exercise for 15 minutes.
c. Remain in bed with his eyes closed.
d. Get up and read until he feels sleepy and then return to bed.
ANS: D
Getting up and reading or watching TV is more restful than experiencing the frustration of inability to fall asleep. Sleep-inducing drugs frequently have a negative effect on older adults, exercising is stimulating, and lying in bed may increase tension.
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An older client is receiving prolonged doses of nephrotoxic drugs. It is important to identify and report the signs of nephrotoxicity to the physician. Which of the following signs of nephrotoxicity should be observed and reported by the nurse?
A) Decreased blood urea nitrogen (BUN) levels B) Decreased serum creatinine levels C) Increased chloride and magnesium levels D) Oliguria
A 38-week pregnant client is complaining of lower back pain. The nurse notes a slight lordosis and waddling gait in the client. The nurse would correctly choose which of the following actions in this situation?
1. Suggest the client begin bed rest. 2. Notify the healthcare provider of the findings. 3. Document the findings as normal. 4. Ask the client if she has been lifting.
The last major transgression of ethical principles in the conduct of research occurred in the experiments conducted by the Nazis
A) True B) False
The nurse is assessing a client who is suspected of having a drinking problem
The nurse asks the client how much alcohol he drinks per day, and the client replies, "The important thing is that even if I have 10 drinks, I can keep it together. I can hold my liquor." The client's reply suggests which of the following? A) He has become tolerant to alcohol. B) He has blackouts. C) He is minimizing his alcohol intake. D) He may drink frequently or a lot, but he does not have a diagnosable problem.