Which of the following is an appropriate intervention to promote sleep in the dying client?
A) Cluster necessary activities.
B) Awaken client every three hours.
C) Allow a steady stream of visitors.
D) Provide maximal environmental stimulation to the client.
A
Feedback:
Nurses must cluster activities to avoid awakening the client and to protect the client from a steady stream of healthcare workers or visitors.
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A client taking central nervous system (CNS) depressants asks the nurse what natural medicines would be safe to use. The nurse suggests that there is no contraindication for taking CNS depressants with:
1. Melatonin. 2. Lavender. 3. Hawthorn. 4. Stinging nettle.
An important independent nursing action to promote normal progress in labor is:
a. assessment of the fetus. b. encouraging urination about every 1 to 4 hours. c. limiting contact with the woman's partner. d. regulating intravenous fluids.
The nurse in the emergency department is caring for a client with a long history of schizophrenia
whose chief complaint is sores on her legs. As the nurse takes the history, the client gives vague answers to questions about eating and sleeping habits and activities of daily living. The nurse notes that the client's personal hygiene is poor and that she has a large canvas duffle bag with her. The nurse wonders if the client is a homeless person. The nurse should a. ask if the client has someone with her that the nurse might speak to. b. ask the client during the mental status examination to state her address. c. avoid mentioning the topic because it is not relevant to treatment of a physical problem. d. ask the client directly about her living arrangements.
The nurse manager is performing activities to prepare for annual staff evaluations. The nurse manager has posted a notice on the office door that reads "Unavailable"
Which of the following statements by a staff member on the unit indicates the need for further education? 1. "The nurse manager has to schedule one day a week in the office that is basically uninterrupted." 2. "One of the client's family members fell in our hallway, but I didn't tell the nurse manager because of the sign." 3. "I'm glad the nurse manager posts that sign, because I can never remember if it's every Tuesday or every Wednesday." 4. "This is when the nurse manager can really get some important things done."