A client with arthritis tells the nurse that fatigue is causing problems with daytime functioning. What should the nurse suggest to the client?
1. Decrease the amount of exercise.
2. Increase the intake of fluids at night.
3. Develop pain-relief measures for better quality of sleep at night.
4. Ask the physician for sleep medication for the client.
Answer: 3
1. The nurse would want to help the client to increase exercise during the day to promote better nighttime sleep.
2. Increasing the amount of fluids at night would likely disrupt sleep at night because the client would be using the bathroom more.
3. Pain is one of the main issues that decreases quality sleep and contributes to fatigue.
4. Pain relief would be more helpful than sleep medication, and should be tried first.
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A) Silver sulfadiazine 1% (Silvadene) water-soluble cream B) Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream C) Silver nitrate 0.5% aqueous solution D) Acticoat
The nurse is assessing coping behaviors of a family with a child with a chronic illness. What indicates avoidance coping behaviors? (Select all that apply.)
a. Refuses to agree to treatment b. Avoids staff, family members, or child c. Is unable to discuss possible loss of the child d. Recognizes own growth through a passage of time e. Makes no change in lifestyle to meet the needs of other family members
A nurse is describing the multicausal perspective of mental health and illness to the parents of a child recently diagnosed with autistic spectrum disorder. Which statement would the nurse utilize when describing this approach?
1. The feedback mechanism appears dysfunctional, creating neurotoxic effects on brain development and function. 2. The child's genetically determined attributes and life experiences interact to influence mental health outcomes. 3. Early psychological trauma may create deficits or abnormalities in brain structure. 4. Exposure to drugs and alcohol has been associated with psychiatric disorders.
Which statement best reflects a goal based on a clinical standard of practice?
a. "Client will lose 4.5 kg in 90 days." b. "Client will walk 10 metres with minimal assistance." c. "Client's peripheral intravenous site will be free of redness." d. "Client's chronic pain will be managed with oral medication by discharge."