Which of the following policies in the long-term care facility will promote effective sleep for clients?
A) After they have eaten the evening meal, clients should be assisted to bed to allow ample time for sleep.
B) Nursing staff should avoid waking clients from deep sleep to provide routine care.
C) Discourage individual client's nighttime rituals because this will limit time for sleep.
D) Noisy clients who disrupt the quiet of the overall sleeping environment should be coaxed or sedated into quiet sleep.
B
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A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention should the nurse include in this client's plan of care?
a. Assistance with activities of daily living b. Physical therapy activities every day c. Oxygen therapy at 2 liters per nasal cannula d. Complete bedrest with frequent repositioning
The patient is admitted to the ICU with a diagnosis of cardiogenic shock. The patient's VS includes HR 135 beats/min with weak peripheral pulses. The lungs have crackles in the bases bilaterally. O2 saturation is 90% on 4L/NC
The physician orders diuretics and vasodilators. The nurse expects which responses to the medications. a. ?3? SVR, ?3? preload c. ?3? SVR, ?5? preload b. ?5? SVR, ?5? preload d. ?5? SVR, ?3? preload
A 77-year-old female patient presents with increasing muscle weakness and numbness in both lower legs over the last week. She presents using crutches and with her daughter for walking assistance
Patient had influenza 3 weeks ago and was treated with amantadine. The patient denies recent trauma. Current medications include beta blocker and ACE inhibitor. Denies use of tobacco or alcohol. On physical examination, the patient is alert and oriented x 3, afebrile, pulse 66, resps 16/min, BP 110/70. Neck: no JVD, no thyromegaly, no bruits over carotid arteries. 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. Hand grip strength: 5/5 bilaterally. Biceps DTR +2/4 bilaterally. Left and right quadriceps muscle strength 4/5. Patella reflex: 1/4 bilaterally. Achilles reflex: 1/4 bilaterally. Ankle strength: R + 3/5 and L + 3/5. Sensation to pinprick and cotton ball intact in face and upper extremities and bilaterally equal. Sensation to pinprick and cotton ball decreased in feet bilaterally. Dorsalis pedis pulses +1/4 bilaterally. Negative Homan's and Babinski's sign. The following disorder(s) should be high priority in the differential diagnosis: A. Amyotrophic lateral sclerosis B. Guillain-Barré syndrome C. Polymyositis D. Multiple sclerosis
Kohlberg's Model of Moral Development has been criticized for
a. Focusing exclusively on individualistic viewpoints of moral development b. Focusing on moral development, which is not ethical development c. The non-inclusive subject sample used in developing the model d. The authoritative nature of the stages