A college student who is working in northern Alaska during the summer reports that he or she has an increase in difficulty sleeping since moving north
During a pre-employment physical, the patient asks the health care provider what could be causing this. The health care provider suspects the sleep disturbance is most likely because of which factor? a. Stress of the new job
b. Increased daylight hours in Northern Alaska
c. Physical demands of the new job
d. Change in diet
B
Northern Alaska has extended daylight hours. Light and temperature affect all circadian rhythms, including the sleep-wake cycle. The most familiar rhythm is the 24-hour, day-night cycle known as the diurnal or circadian rhythm. When the sleep-wake cycle becomes disrupted (e. g., by working rotating shifts), other physiological functions change as well. Stress of the new job, physical demands of the new job, and a change in diet are not the issues. The patient stated that the difficulty started when he or she moved north.
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A nurse identifies a need to assess a patient's cognitive status. The nurse chooses to use the MMSE. The nurse knows that the patient must have which of the following abilities? (Select all that apply.)
a. Number fluency b. Familiarity with analog clocks c. Ability to hear and see d. Ability to sit up for 10 minutes e. Ability to speak English
The client is a 64-year-old man with late-stage small cell lung cancer being cared for in the home by his 63-year-old wife. Which nursing diagnosis has the highest priority for you as the home care nurse in teaching the wife how to manage symptoms?
A. Imbalanced Nutrition: Less than Body Requirements related to fatigue and in-creased metabolism B. Constipation related to decreased activity and medication regimen C. Activity Intolerance related to dyspnea and fatigue D. Acute Pain related to metastasis
The nurse instructs the client to report systemic effects from the new prescription for eye drops, epinephrine bitartrate (Epitrate). What does the nurse instruct the client to report?
1. Nausea, prolonged vomiting 2. Tachycardia and hypertension 3. Periorbital edema and crusting 4. Reddened, watery, itching eyes