The school nurse is working with an adolescent who reports that he gets six hours or less of sleep at night
The nurse explains to the adolescent that some of the common consequences of inadequate sleep include: Standard Text: Select all that apply. 1. Hyperactivity.
2. Increased nocturnal emissions.
3. Increased risk of automobile accidents when driving.
4. Moodiness.
5. Being unable to perform well at school.
3,4,5
Rationale 1: Inadequate sleep is more likely to lead to hypoactivity.
Rationale 2: This is a common occurrence of early adolescence and not related to sleep deprivation.
Rationale 3: This is a possibility in the adolescent who is sleep deprived.
Rationale 4: Parents often report that sleep-deprived adolescents tend to be moody and are difficult to communicate with.
Rationale 5: Drowsiness will inhibit the performance of the adolescent.
Global Rationale:
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Upon auscultation, the health care provider hears creaking, leathery, coarse breath sounds in the lower anterolateral chest area during inspiration and expiration. The nurse suspects that the patient has a(n) a. emphysema. b. atelectasis. c. pulmonary fibrosis. d. pleural friction rub.
An indwelling urinary catheter is inserted for a woman with a high spinal cord injury who has had a cesarean birth. As you walk into her room, you notice her face is reddened and she says she has a sharp headache
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When the nurse walks in to evaluate a patient's status post gastric bypass surgery, The patient
states, "I am fine.". The nurse notes that the patient has made no eye contact, her tone of voice is flat, the television is off, the blinds are drawn, and the patient appears to have been crying. What action should the nurse take? A) None, as the patient has stated she is fine. B) Confront the patient with regard to the discrepancy between her verbal and nonverbal communication. She should then ask the patient how she is really doing. C) Open the blinds, offer the patient some medication for her pain, and provide her with a much-needed back rub while assessing her skin. D) Consider the discrepancy between the patient's verbal and nonverbal communication. Based on this discrepancy the nurse may wish to sit quietly with the patient.
A nurse is discharging a client from the hospital. When should discharge planning be initiated?
A) At the time of discharge from an acute health care setting B) At the time of admission to an acute health care setting C) Before admission to an acute health care setting D) When the client is at home after acute care