A nurse on the night shift notices that a client is grinding his teeth while sleeping. What health problem should the nurse document for this client?
A) Bruxism
B) Insomnia
C) Narcolepsy
D) Cataplexy
A
Feedback:
The nurse should document the client's condition as bruxism, or teeth grinding. Insomnia is not an appropriate diagnosis because the client does not have difficulty sleeping. Narcolepsy is an inappropriate diagnosis because the client does not have a sudden onset of daytime sleep. Cataplexy is not an accurate diagnosis because cataplexy is associated with the sudden loss of muscle tone triggered by an emotional change such as happiness or anger.
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The pediatric nurse stresses that health promotion activities must be ongoing for which reason(s)? (Select all that apply.)
a. To identify health risks b. To encourage healthy behavior c. To prevent disease d. To improve nutrition e. To prevent accidents
The nurse has instructed an older patient on the modified My Plate and caloric intake. Which patent response indicates that instruction has been effective?
1. "If I consume the lowest daily recommended value for all of the food groups, it will result in approximately 2,000 calories." 2. "If I consume the lowest daily recommended value for all of the food groups, it will result in approximately 1,600 calories." 3. "If I consume the lowest daily recommended value for all of the food groups, it will result in approximately 2,200 calories." 4. "If I consume the lowest daily recommended value for all of the food groups, it will result in approximately 2,400 calories."
An older adult client who is scheduled for a computed tomography (CT) scan of her abdomen has admitted to the nursing student that she is deeply fearful of having this test because of her fear of pain. Which response demonstrates a communication block?
A) ìWhat part of having a CT scan makes you most fearful?î B) ìYou'll find that there's actually no pain involved with this test.î C) ìThere, there. You have nothing to be afraid of.î D) ìIt can be frightening to undergo medical tests.î
What stoma changes would you report immediately to the physician?
Name at least four.