The nurse and a client are discussing the importance of an effective 24-hour sleep cycle. Which of the following responses by the client may be a direct result of an inadequate sleep pattern? (Select all that apply.)
1. Gaining weight
2. Usually feeling cold
3. Always feeling "tired"
4. A heart that beats "really fast"
5. Often feeling "blue" or depressed
6. Feeling dizzy when getting up from a chair
ANS: 2, 3, 4, 5, 6
The predictable changing of body temperature, heart rate, blood pressure, hormone secretion, sensory acuity, and mood depend on the maintenance of the 24-hour circadian cycle. Weight gain is not typically a result of poor sleep patterns.
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When an antibody titer to varicella zoster virus is performed on a nurse, the titer is negative. Which result and action by the nurse's supervisor are most appropriate?
a. The nurse has chickenpox and is conta-gious. The supervisor sends the nurse home. b. The nurse has never been infected with varicella zoster virus. The supervisor as-signs another nurse to care for clients with chickenpox. c. The nurse had a subclinical case of herpes at least 5 years ago and is now immune to the disease. The supervisor assigns the nurse to a client with chickenpox. d. The nurse has never been infected with varicella zoster virus and is susceptible to herpes. The supervisor assigns another nurse to a client with herpes.
Which of the following medication dosages is properly written?
A) .8 mg B) .125 mcg C) 00.125 mg D) 0.25 mg
A patient with blindness related to a functional neurological (conversion) disorder says, "All the doctors and nurses in this hospital stop by often to check on me. Too bad people outside the hospital don't find me interesting."
Which nursing diagnosis is most relevant? a. Social isolation b. Chronic low self-esteem c. Interrupted family processes d. Ineffective health maintenance
Which nursing action best illustrates the ethical concept of beneficence?
1. Providing a walker for a patient prior to ambulating in the hall 2. Allowing the patient to choose what time to have a shower 3. Asking the patient about the existence of a living will or durable power of attorney 4. Continually communicating with the patient regarding procedures