A 75-year-old man tells the nurse that he has difficulty staying asleep during the night. Which of the following responses should be made by the nurse?

a. Older adults need as much sleep as middle-age and younger adults. Lets talk about your sleep patterns.
b. Ill ask the nurse practitioner to prescribe a sleeping pill for you.
c. Taking naps during the day can help relieve excessive fatigue and will help you sleep better.
d. Lets talk about your sleep schedule and things that may prevent you from getting a restful nights sleep.


Answer: d. Lets talk about your sleep schedule and things that may prevent you from getting a restful nights sleep.

Nursing

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The patient, age 52, is recovering from a modified radical mastectomy. Why is postoperative elevation of the patient's arm important after this procedure?

a. To prevent vascular and lymph stasis, thus lymphedema b. To prevent drainage accumulation at the incisional site c. To prevent wound infection and dehiscence d. To prevent pleural effusion and respiratory distress

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A patient admitted with shortness of breath and chest pain who is a pack-a-day smoker tells the nurse, "I am just not ready to quit smoking yet." Which response by the nurse is best?

a. "This would be a really good time to quit." b. "Your smoking is the cause of your chest pain." c. "What health problems do you think smoking has caused?" d. "Are you familiar with the various nicotine replacement options?"

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A nurse is assisting in performing a cerebral arteriography for a client with a head injury

What is the nurse's role when assisting with this procedure? A) Restrict excess fluid intake during the arteriography procedure B) Apply a pressure device after the procedure to prevent scarring C) Check the insertion site for signs of bleeding every hour D) Obtain a baseline neurologic assessment prior to the procedure

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A licensed practical/vocational nurse (LP/VN) is working with a nursing assistant (NA) on a team on a geriatric unit. The LP/VN delegated the morning care for four clients to the NA

The NA did not perform all of the tasks delegated by the LP/VN. Which should be the best course of action for the LP/VN as a leader? A) Reevaluate the tasks assigned to determine if the assignment was reasonable. B) Assign the tasks not completed to another NA. C) Complete the tasks not completed by the NA. D) Report the NA to the team leader because the NA should have completed the tasks.

Nursing