The nurse knows the following changes in sleep patterns occur in the older adult: (Select all that apply.)
a. Sleep increases to approximately 8 to 10 hours a night.
b. REM sleep is shorter.
c. Stage 4 NREM is decreased.
d. The use of medication may interfere with sleep.
e. Older adults awaken more at night.
ANS: C, D, E
The first REM stage is longer. Older adults sleep approximately 6 hours a night. Stage 4 sleep is decreased, resulting in less restorative sleep. A decline in health or the use of medications may interfere with sleep. Older adults awaken more at night and take longer to go back to sleep.
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A fever that rises and falls but does not return to normal until the patient is well is classified as:
a. constant. b. intermittent. c. remittent. d. elevated.
The Nursing Competence in Aging initiative advocates enhancing nurses' __________. (Select all that apply.)
a. knowledge in gerontics b. skills in geriatrics c. opportunities for employment d. political sensitivity for the older adult e. attitudes related to the older adult
Advantages to using the electronic health record (EHR) include that:
a. Hospitals no longer need to store medical records. b. Medical records are complete and easily accessible to health care providers. c. Unit secretaries can still call for "old records.". d. Diagnostic tests are not available for direct visualization.
A goal of Healthy People 2010 is full immunization of 95% of children in kindergarten and first grade in the United States. To reach this goal,the school nurse can teach families that:
1. a minor illness with a low-grade feveris a contraindication to receiving an immunization according to Healthy People 2010. 2. vaccines should be given one at atime for optimum active immunity in the prevention of illness and disease. 3. premature infants and low-birthweight infants should receive half doses of vaccines for protection from communicable diseases. 4. the risks of communicable diseasesand the risks and benefits of vaccines from Vaccine Information Statements as required by the National Vaccine Injury Act of 1986 and 1993.