An older patient does not understand why an alcoholic drink cannot be provided before going to sleep in the evening. What should the nurse explain to the patient?

1. Alcohol has an initially depressant effect.
2. Alcohol can increase the time needed to fall asleep.
3. Alcohol is disruptive of the second half of the sleep cycle.
4. Alcohol can enable an individual to sleep through the entire night.


3
Rationale: Alcohol has an initial stimulating effect.

Nursing

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The client demonstrates inner strength and peace regarding a new diagnosis of a terminal illness. The nurse knows that this is an example of which type of wellness?

a. intellectual c. sociocultural b. psychological d. spiritual

Nursing

A client with a complete heart block receives a permanent pacemaker. Which discharge instructions should the nurse include when teaching this patient?

1. "Do not use your right arm for 6 weeks to avoid injury to the pacemaker incision." 2. "Do not use a microwave to cook your food even if you stand 10 feet from the oven." 3. "Do not fly on commercial airplanes as long as you have the pacemaker." 4. "You will be taught to take your pulse, and should check it daily when you get home."

Nursing

The community nurse is teaching a group of members with type 1 or 2 diabetes mellitus who are planning to participate in an athletic triathlon. On which potential complication from this event should the nurse focus when teaching?

1. diabetic ketoacidosis 2. hypoglycemia 3. hyperosmolar hyperglycemic state 4. impaired glucose tolerance

Nursing

Sarah is a second-year nursing student

The clinical instructor overhears Sarah telling a patient that she "always" checks patients' bracelets before giving medication and she is not sure how the nurses on the unit "get away with" not making more errors than they do. The clinical instructor pulls Sarah aside and explores with her how her communication might affect the patient and what it reflects about her beliefs related to the team. The actions of the clinical instructor reflect competencies outlined by: a. QSEN. b. IHI. c. DNV/NIAHO. d. AHRQ.

Nursing