During a routine physical examination, the client reports having problems falling asleep at night despite engaging in vigorous activities to tire herself in the evening. What response by the nurse is indicated?
A) "You should vary your routine each day."
B) "You should time activities to end within an hour of bedtime."
C) "Lighten your exercise routine in the afternoon; concentrate exercise toward the morning hours."
D) "Exercise is recommended, but it should not be done closer than 3 hours to bedtime."
D
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The deliberate effort to make things different within a system is called
1. planned change. 2. expected change. 3. unplanned change. 4. workplace dynamics.
The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as:
a. restrictive. b. malabsorptive. c. restrictive/malabsorptive. d. obstructive.
The nurse reviews the electronic medical record for a patient scheduled for a total hip replacement. Which assessment data shown in the accompanying figure increase the patient's risk for respiratory complications after surgery?
a. Albumin level and recent weight loss b. Mild confusion and recent weight loss c. Age and recent arthroscopic procedure. d. Anemia and recent arthroscopic procedure
A patient is prescribed a dry powder inhaler (DPI) for chronic obstructive pulmonary disease (COPD). Which statement made by the patient indicates to the nurse that more instruction is needed?
a. "I won't exhale into the inhaler." b. "The inhaler will be kept in the drawer of my bedroom dresser." c. "I will wash the inhaler mouthpiece daily with soap and water." d. "I'll inhale twice as hard through this inhaler as I do with my aerosol inhaler."