A patient arrives at the ambulatory clinic for a normal assessment. The nurse inquires about the patient's sleep pattern. The patient has a history of sleep pattern disturbances
The nurse evaluates that the patient is sleeping better when the patient states: A. "I don't take melatonin as frequently."
B. "I increased my alcohol consumption before bedtime."
C. "I increased my use of over-the-counter substances."
D. "I take more daytime power naps."
A
Alcohol speeds the onset of sleep and disrupts REM sleep and causes awakening during the night and causing difficulty returning to sleep. Over-the-counter medications such as antihistamines cause drowsiness and insomnia; nasal decongestants cause daytime sleepiness. Napping during the day decreases quality sleep during the night.
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A community health nurse works to offer increased health care services to meet the needs of a local migrant population. Which of the following ideas will work well for this population? Select all that apply
A) Providing a mobile van clinic that comes to the farms during the day B) Offering a clinic at the migrant camp from 7 to 10 p.m. C) Asking local doctors to stay open until 6 p.m. during the summer D) Offering school-based health services for the children E) Providing a breakfast program for the children at school
A nursing instructor teaches a student nurse about the importance of joining a professional organization. The nursing instructor recognizes that further instruction is necessary when the student nurse states,
1. "Professional organizations allow me to have a collective voice." 2. "Professional organizations limit my ability to influence laws and policies." 3. "Professional behavior is demonstrated by joining a professional organization." 4. "By joining a professional organization, I will have opportunities for leadership."
A nurse is caring for a 14-year-old girl following myelography. What is the priority nursing action at this time?
A) Monitor for a decrease in spasticity. B) Observe for signs of meningeal irritation. C) Assess motor function. D) Observe for mental confusion or hallucinations.
The home health nurse is conducting a home safety assessment in a client's home. Which of the following items noted by the nurse requires follow-up and teaching?
1. presence of grab bars in the shower 2. locked storage cabinets 3. throw rugs near the entrance to each room 4. covered electrical plugs