During a corporate health fair, an attendee states that he "just can't stay awake" during the daytime, although he "sleeps just fine at night." What advice should the nurse offer this man?
A)
Go to a mental health professional for evaluation of possible depression.
B)
Go to your physician for a physical examination.
C)
Drink more caffeinated beverages in the daytime to stay awake.
D)
Purchase an over-the-counter sleep aid to deepen nighttime sleep.
B
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When a breastfeeding mother is diagnosed with a breast abscess, which of these instructions from the nurse is correct? The mother needs to:
a. Continue to nurse on both sides to encourage milk flow. b. Immediately discontinue nursing to allow for healing. c. Temporarily discontinue nursing on the affected breast, and manually express milk and discard it. d. Temporarily discontinue nursing on affected breast, but manually express milk and give it to the baby.
A 33-year-old female complains of episodes of weakness of the left side of the face. Drooping of the left eyelid and weakness of the jaw muscle develops gradually throughout the day, and it is worse at night than the morning
The patient has a medical-surgical history of cholecystectomy at age 30. Otherwise, patient has no history of illness and takes no medications. Denies use of tobacco or alcohol. On physical examination, vital signs are T 98 degrees, 18 resps/min, pulse 66, and BP 110/60. Ptosis of the left eyelid is noted. Vision: 20/20 os, 20/20 od, and 20/20 ou. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is non-tender with no organomegaly. Extremities: Skin is pink, cool to touch, and intact bilaterally. Left and right quadriceps muscle strength 5/5. DTRs left and right + 2/4. No clonus. Negative Homan's and Babinski's sign. Sensation to pinprick and cotton ball intact in extremities and equal bilaterally. Dorsalis pedis pulses +1/4 bilaterally. Eyelids: left-sided ptosis. No facial droop. Left and right cheek sensation to pinprick and cotton ball intact. Masseter muscle: 2/5 left versus 5/5 on right. EOMs intact. Gag reflex: uvula midline gag intact. Shrug and sternocleidomastoid muscle strength 5/5 bilaterally. Tongue: midline and strength 5/5 bilaterally. The following disorder(s) should be considered in the diagnosis: A. Bell's palsy B. Stroke C. Myasthenia gravis D. Multiple sclerosis
Which patient statement indicates that the nurse's teaching about sulfasalazine (Azulfidine) for ulcerative colitis has been effective?
a. "The medication will be tapered if I need surgery." b. "I will need to use a sunscreen when I am outdoors." c. "I will need to avoid contact with people who are sick." d. "The medication will prevent infections that cause the diarrhea."
What is extremely useful to review to determine if the community intervention goals of the community/public health nurse are appropriate?
A. The assessment of community members' health needs and readiness to change B. The focus areas for the nation in Healthy People 2010 C. Goals established by other, similar community/public health agencies D. Goals suggested by the public health research literature