Which symptoms are expected to be seen in a patient with insomnia? (Select all that apply.)
a. Difficulty falling asleep
b. Sleeping too much
c. Waking often during the night
d. Feeling unrested after sleep
e. Uncontrollable urge to sleep
f. Sleepwalking at least once per week
g. Nightmares most of the night
A, C, D
Typical symptoms of insomnia include difficulty falling asleep, waking often during the night or early morning, and not feeling rested after sleep. Uncontrollable urges to sleep are typical of narcolepsy.
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A patient has had a complete stroke as a result of a ruptured vessel in the left hemisphere. How should this patient's CVA be classified?
a. Ischemic, embolic b. Hemorrhagic, subarachnoid c. Hemorrhagic, intracerebral d. Ischemic, thrombotic
The nurse suspects clubfoot in the newborn and assesses for the condition by:
1. Adducting the foot and listening for a click. 2. Moving the foot to midline and determining resistance. 3. Extending the foot and observing for pain. 4. Stimulating the sole of the foot.
A nurse is assigned to perform continuous bladder irrigation for a client who has
undergone a prostatectomy. What should the nurse follow when performing the procedure? A) Avoid taping the traction to client's hip or abdomen B) Monitor the setup to make sure that all the tubes are open C) Report to the physician if the drainage is blood tinged D) Assure the client that a feeling of bladder fullness is not a cause for concern
An example of physical abuse is
A) making threats. B) withholding food or water. C) swearing at the patient. D) performing personal hygienic measures on private parts of the body.