The patient in the high acuity care unit reports feeling "out of sorts" despite the fact she has slept several hours during the day after a sleepless night. She asks how this can be possible. What response by the nurse is indicated?
1. "These feelings are likely the result of having your days and nights changed.".
2. "This is normal when you are hospitalized.".
3. "You should begin to take a sleeping pill in the evening.".
4. "You should take a pain tablet in the evening to help you rest better.".
1
Rationale: Patients hospitalized are at risk for having their sleep and wake cycles altered. This may result in feelings of fatigue. While these feelings may be a result common during hospitalization it does not meet the patient's request for information. Taking medications such as sleeping pills or analgesics in the evening hours to achieve rest or comfort does not meet the patient's request for information.
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The nurse has reinforced teaching with a patient who has an open fracture of the right leg about prevention of osteomyelitis. Which of the following statements by the patient would indicate a correct understanding of the teaching?
a. "Wash hands prior to touching fracture area." b. "Increase calcium intake in diet." c. "Keep leg immobilized." d. "Apply ice to right leg."
A new nurse is caring for a child after spinal fusion to correct scoliosis. Which action by the new nurse causes the experienced nurse to intervene?
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A major change to Medicare reimbursement was implemented in 1983. The new system paid a set rate according to diagnosis. What was the new payment system based upon?
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The nurse educator who directs care at an assisted living facility is conducting a health promotion session with residents. Which of the following pieces of advice about maintaining and promoting bladder health is most accurate?
A) "Making your urine more acidic through your diet can reduce the incidence of infections.". B) "Resisting the urge to void for a while can increase the volume of each void and prevent frequency.". C) "Limiting or avoiding fluids drank after 5:00 p.m. can help you void less frequently.". D) "If you do experience frequent voiding at night, requesting a urinary catheter can help in the short term.".