The nurse is caring for a young adult patient on the medical-surgical unit. When doing midnight checks, she sees that the patient is awake and is doing a puzzle. What is the best explanation for the patient being awake?
a. The patient was waiting to talk with the nurse.
b. The patient misses his family and is lonely.
c. The patient's sleep-wake cycle preference is late evening.
d. The patient has been kept up with the noise on the unit.
ANS: C
All persons have biological clocks that synchronize their sleep-wake cycle. This explains why some individuals fall asleep in the early evening and some late evening or early morning. This patient is awake and alert enough to do a puzzle. The individual's sleep-wake preference is probably late evening. Waiting to talk with the nurse, being lonely, and noise on the unit may contribute to lack of sleep, but the best explanation for the patient being awake is the biological clock.
You might also like to view...
The nurse is caring for a patient who has a PCA pump following total hysterectomy surgery. The nurse sees the visitor push the PCA button while the patient is sleeping quietly. What is the best response of the nurse?
a. "Thank you for pushing the button for her to help keep her comfortable after surgery." b. "Please do not push the button for the patientâ€"she could receive more medication than she needs." c. "You can push the button for her now, but please have her do it herself when she awakens." d. "PCA pumps are great because she doesn't have to wait for me to administer her pain medication."
The nurse assesses the members of a senior center. For which of the following new findings should the nurse require immediate follow-up by the primary care provider?
A) Blood pressure of 96/62 mm Hg B) Numbness of hands C) Urinary incontinence D) Opaque sclera
A client is planning to travel to an area of the world where malaria is endemic. The physician has given the client a prescription of chloroquine as prophylaxis
Which of the following would the nurse include in the teaching plan for this client about starting and ending therapy? Select all that apply. A) Begin therapy 1 month before exposure. B) Begin therapy 2 weeks before exposure. C) Continue therapy 6 to 8 weeks after leaving endemic area. D) Continue therapy 1 to 2 weeks after leaving endemic area. E) Stop therapy 2 days prior to leaving endemic area.
When assessing an ECG, the nurse knows that the P-R interval represents the time it takes for the:
a. Impulse to begin atrial contraction b. Impulse to transverse the atria to the AV node c. SA node to discharge the impulse to begin atrial depolarization d. Impulse to travel to the ventricles