A long term care facility has selected sleep promotion as its quality improvement project. Which of the following interventions would be appropriate to implement on this unit? (Select all that ap-ply.)
a. Ensuring that all residents receive evening care and are in bed by 8:00 PM
b. Taking as many residents as possible out-side for 30 minutes daily
c. Instituting quiet time (keep noise down, speak in hushed tones, no overhead pag-ing) between 9:00 PM and 6:00 AM
d. Avoiding waking residents for routine care during the night
e. Limiting caffeine and fluids before bed-time
ANS: B, C, D, E
Strategies to promote sleep for individuals in long term care and hospitals include allowing the resident to stay out of the bed and the room for as long as possible before bed, and not placing him/her in bed too early. Exposing individuals to sunlight for 30 minutes daily in a comfortable outdoor location is also helpful in promoting sleep. Limiting fluids and caffeine before bedtime is also helpful. Changing institutional routines to avoid waking residents for routine care and providing care when residents wake up are also successful strategies to promote sleep.
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A pregnant woman states, "My husband hopes I will give him a boy because we have three girls." What will the nurse explain to this woman?
a. The sex chromosome of the fertilized ovum determines the gender of the child. b. When the sperm and ovum are united, there is a 75% chance the child will be a girl. c. When the pH of the female reproductive tract is acidic, the child will be a girl. d. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
A community health nurse is caring for vulnerable populations. The nurse is caring for which patients? (Select all that apply.)
a. Patients living at home b. Patients with abusive habits c. Immigration patients d. Middle-aged patients e. Patients living in poverty
A patient had chest tube insertion for a pneumothorax. External suction was discontinued yesterday. This morning the nurse assesses tidaling in the water-seal chamber. What nursing action is indicated?
1. Collaborate with the healthcare provider regarding need to reinstitute the external suction. 2. Check the connections between the chest tube and the drainage system. 3. No action is necessary as this is an expected occurrence. 4. Have the patient cough forcefully.
Pete Sims, a 22-year-old college student, was involved in an automobile accident that resulted in permanent cognitive and physical disability. The night of the accident, Pete and his friends had been celebrating a friend's birthday at a local bar
The friend who was celebrating a birthday had been driving, and he was killed during the accident. Pete feels guilty about his friend's death. A priority assessment for the nurse to make in caring for Pete would be assessing his: A) Risk for suicide. B) Level of depression. C) Social support systems. D) Financial status.