The patient has been in the critical care unit for 3 weeks and has been on an intra-aortic balloon pump for the past 3 days. The patient's condition has been serious, and hourly assessments and vital signs have been necessary

The nursing staff has noted that the patient has been unable to achieve sleep for more than 30 minutes at a time. The patient has been given diazepam (Valium) prn. The anticipated effect of diazepam on the patient's sleep is a. a decrease in NREM stage 1 c. total NREM suppression.
b. an increase in NREM stage 3 d. REM suppression in larger doses.


D
Diazepam increases NREM stage 1 and reduces NREM stages 3 and REM. REM suppression is dose related.

Nursing

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A client who is a MTG transgender is considering feminizing genitoplasty. Which surgical procedures should the population health nurse include when instructing this client? (Select all that apply.)

1. Penectomy. 2. Vovoplasty. 3. Orchiectomy. 4. Vaginoplasty. 5. Reduction mammoplasty.

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The nurse is teaching a client about bladder training after a surgical procedure designed to reduce urinary incontinence. Which of the following statements by the client indicates understanding of the teaching provided?

A) "I should try to see how long I can hold my urine before voiding." B) "Research has not supported theories linking dietary intake to bladder irritation." C) "I should force fluids to promote my bladder to hold more urine." D) "I will gradually space my voiding times to longer periods."

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What should you check before administering an enteral feeding by mouth?

a. Gag reflex b. Frequency of reflux c. Foods that cause nausea d. Consistency of bowel movements

Nursing

Which of the following would be an appropriate treatment for a patient with mild benign prostatic hyperplasia (BPH)?

a. Refer to urologist for surgery b. Prescribe a trial of tamsulosin c. Recommend cranberry supplements d. Reevaluate symptoms in 1 to 3 months

Nursing