The nurse is assessing an older patient who wakes up during the night. Which finding does the nurse identify as a risk factor for disturbed sleep?
1. Patient has osteoarthritis of both hips
2. Patient ingests one cup of coffee every morning
3. Patient takes antidepressant medication in the morning
4. Patient walks for half an hour before lunch each day
1
Rationale: A common source of pain in older adults is the chronic pain resulting from osteoarthritis. Because osteoarthritis is so common in aging, it can result in chronic sleep disruption for large numbers of older people.
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The nurse is providing health education to a diverse group at a neighborhood community center. Why does the nurse plan to include signs and symptoms of systemic lupus erythematosus (SLE)?
A) The neighborhood is composed of many young female children. B) The audience has asked the nurse to include the information. C) The audience is mainly composed of Caucasian women. D) The audience is mainly females of Asian-American descent.
Concerning the initial physical exam of a woman beginning prenatal care, maternity nurses should be aware that:
1. only women who show physical signs or meet the sociologic profile should be assessed for physical abuse. 2. the woman's bladder should be empty before pelvic examination. 3. distribution, amount, and quality of body hair are of no particular importance. 4. size of the uterus is discounted in the initial exam because it is just going to get bigger soon.
The nurse works in a school-based clinic. She is having a conversation with a 16-year-old student who has just learned that she is 3 months pregnant
The nurse emphasizes the importance of making an appointment with a certified midwife or physician for her first prenatal visit. The nurse is concerned the student is high risk for having a low birth weight baby. The nurse knows that low birth weight is A) the third leading cause of preventable neonatal death behind SIDS and accidental injury. B) associated with long-term disabilities, such as cerebral palsy, autism, mental retardation, and vision and hearing impairment. C) more prevalent in younger mothers. D) impacted by the emotional stress of the family.
Which of the following is not a method of treating parkinsonism which may develop from the continued use of a phenothiazine?
A. Administering a dopamine agonist B. Administering a centrally acting anticholinergic drug C. Completely stopping the use of phenothiazine for treatment D. Reducing the dosage of phenothiazine