A patient has received a nursing diagnosis of sleep deprivation. Which of the following statements by the patient would indicate that outcomes are being met?
a. "I wake up only once a night to go the bathroom."
b. "I feel rested when I wake up in the morning."
c. "I go to sleep within 30 minutes of lying down."
d. "I only take a 20-minute nap during the day."
B
Being able to sleep and feeling rested would indicate that outcomes are being met for sleep deprivation. Limiting a nap to 20 minutes is an intervention to promote sleep. Going to sleep within 30 minutes indicates that the patient may not be experiencing insomnia. Waking up during the night may indicate insomnia, and decreasing fluids in the evening is an intervention to help prevent this situation.
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Which of the following terms refers to shared cultural, social, and linguistic heritage?
a. beliefs c. socialization b. culture d. ethnicity
The nurse is preparing to conduct a nursing history interview with a client. The focus of this interview is to obtain information about the:
a. disease process that is causing the problems for the client. b. client's perception of health–illness problems and responses to them. c. nursing interventions required for the client's disease. d. goals for nursing care.
During implementation, nursing interventions are executed, and the client's response is observed and documented
Indicate whether the statement is true or false
The nurse is explaining the process of peritoneal dialysis to a client who recently developed renal failure. Which of the following statements would the nurse include in a discussion with the client and family?
1. "The solutes in the dialysate will enter the bloodstream through the peritoneum.". 2. "The peritoneum is more permeable because of the presence of excess metabolites.". 3. "The peritoneum acts as a semipermeable membrane through which wastes move by diffusion and osmosis.". 4. "The metabolites will diffuse from the interstitial space to the bloodstream mainly through diffusion and ultrafiltratio.