A community health nurse is providing an educational session at the senior center on how to promote sleep. Which practices should the nurse recommend? (Select all that apply.)
a. Take a nap in the afternoon.
b. Sleep where you sleep best.
c. Use sedatives as a last resort.
d. Watch television right before sleep.
e. Decrease fluids 2 to 4 hours before sleep.
f. Get up if unable to fall asleep in 15 to 30 minutes.
ANS: B, C, E, F
The nurse should instruct the patient to sleep where he or she sleeps best, to use sedatives as a last resort, to decrease fluid intake to cut down on bathroom trips, and, if unable to sleep in 15 to 30 minutes, to get up out of bed. Naps should be eliminated if they are not part of the individual's routine schedule, and if naps are taken, they should be limited to 20 minutes or less a day. Television can stimulate and disrupt sleep patterns.
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The nurse knows the following types of wounds heal by tertiary intention:
a. An acute wound in which the patient has sutures placed when it happened b. A pressure ulcer that was treated with dressing changes and healed c. An acute wound in which surgical glue was used to close the wound d. A wound that was left open initially and closed later with sutures
What is the main purpose for using a volume-control device, such as a Buretrol or an infusion pump, to administer intravenous fluids to children?
a. To avoid fluid overload b. To aid in measuring intake c. To administer antibiotics d. To ensure adequate intravenous fluid intake
Which of the following is an example of high organizational morale?
a. A staff nurse enjoys the quality of her work. b. A staff nurse shows decreased quality of work. c. A staff nurse is loyal to the profession. d. A staff nurse has a high rate of absenteeism.
A family seeks counseling at a community mental health center. The husband says to a nurse, "Every time we start to discuss rules for the children, we get into shouting matches. We can't ever settle on anything. We just shout at each other"
The nurse instructs the husband and wife to shout at each other for the next 2 weeks on Tuesdays and Thursdays from 6:30 to 7 P.M. This intervention is called: A) Reframing. B) Restructuring the family. C) Expressive psychotherapy. D) Paradoxical intervention.