What clinical manifestation is most likely to occur in a patient who is not adhering to the treatments used to treat the patient's obstructive sleep apnea (OSA)?
1. Hypotension
2. Hyperglycemia
3. Acute renal failure
4. Hypnogogic hallucinations
Answer: 2
Explanation: Breathing-related disorders such as OSA may cause alterations in glucose metabolism. Untreated OSA causes hypertension, not hypotension. Hypnogogic hallucinations occur in narcolepsy. Acute renal failure is not a direct symptom of any sleep-wake disorder.
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2. The nurse has started to infuse the first of two units of packed red blood cells (prbc) on her patient. What is the nurse's next best action?
a. Delegate to the NAP to take vital signs every 15 minutes for 1 hour. b. Infuse the blood at a rate of 100 mL/hr so it will infuse in 4 hours. c. Infuse an IV solution of lactated Ringer's with the blood. d. Remain with the patient for the first 15 minutes of the infusion.
A postpartum client complains of urinary frequency and burning. Which of the following causes would the nurse suspect?
A) Uterine atony B) Urinary tract infection C) Subinvolution D) Stress incontinence
At the end of the shift, nurses document the care provided each of the clients. The time spent on this type of accounting activity would be considered which of the following?
a. Direct care c. Indirect care b. Productive time d. Nonproductive time
The purpose of continuous quality improvement is to
A. write deficiencies on the staff. B. create a good paper trail. C. identify and correct problems. D. develop material safety data sheets.