A client having difficulty sleeping asks the nurse what the complications of sleep deprivation might be. Which topic will the nurse include when responding to the client?
A) Fatigue occurring at night
B) Auditory hallucinations
C) Improved wound healing
D) Development of Alzheimer's disease
Answer: B
The client who is deprived of sleep may experience visual or auditory hallucinations. Sleep deprivation is not known to be a causative factor for Alzheimer's disease but is known to exacerbate behavioral problems in persons with Alzheimer's disease. Fatigue may occur but this is during the daytime. Delayed healing is associated with sleep deprivation.
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A baby just born with a meningomyelocele is to have surgery in the morning. The nurse knows the care of this newborn includes:
1. Applying a diaper to prevent contamination of sac. 2. Positioning the newborn in a side-lying position. 3. Encouraging the mother to hold the newborn, because she will not be able to pick him up after surgery. 4. Positioning the newborn in a prone position.
A nurse is planning the care of a patient with herpes zoster. What medication, if administered within the first 24 hours of the initial eruption, can arrest herpes zoster?
A) Prednisone (Deltasone) B) Azanthioprine (Imuran) C) Triamcinolone (Kenalog) D) Acyclovir (Zovirax)
Which of the following statements about links between families and their community is inaccurate?
1. The negative influences of poverty and unrest continue for generations even after community conditions improve. 2. Understanding the culture of the community is essential for being able to address family health needs. 3. Families in low-resourced areas contend with malnutrition. 4. Political unrest has little effect on the health and well-being of families.
The nurse is assessing a client in an outpatient clinic. Which client statement alerts the nurse to possible left-sided heart failure?
a. "I have been drinking more water than usual." b. "I have been awakened by the need to urinate at night." c. "I have to stop halfway up the stairs to catch my breath." d. "I have experienced blurred vision on several occasions."