The nurse working night shift enters a client's room and observes that the sleeping client's vital signs are reduced by 20%, and that the client is sleeping soundly, is not moving at all, and is difficult to arouse
The nurse suspects the client is in what stage of sleep? A) REM sleep B) non-REM stage IV C) non-REM stage III D) non-REM stage I
B
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A victim of a motorcycle accident has an open fracture of the left femur with an associated wound of 8 cm. The nurse's assessment records this injury as grade
a. I. b. II. c. III. d. IV.
Bile is stored in the:
a. Liver b. Stomach c. Colon d. Gallbladder
A client has a terminal illness and is discussing future treatments with the nurse. The nurse notes that he has not been eating and his response to the nurse's information is, "What does it matter?"
The most appropriate nursing diagnosis for this client is: 1. Denial 2. Hopelessness 3. Social isolation 4. Spiritual distress
The client with a hearing aid does not seem to be able to hear the nurse. The nurse should do which of the following?
a. contact the client's audiologist b. cleanse the hearing aid ear mold in normal saline c. irrigate the ear canal d. check the hearing aid's placement