A client who has degenerative arthritis of the knees and hips for which she takes nonsteroidal
antiinflammatory drugs tells the nurse "For the past month I have been having a lot of trouble
sleeping.
I cannot seem to fall asleep, and then when I finally do get to sleep, I find I wake up a
number of times during the night.". Which information should the nurse seek initially?
a. "Are you snoring a lot?"
b. "Do you have pain at night?"
c. "Do you sleep better with the radio on?"
d. "Can you define ‘good sleep' for me?"
B
Clients with diseases such as arthritis may have sleep disturbance related to nightly pain. Because
the pain is chronic the client may fail to realize it is the reason for the inability to sleep. The other
options do not follow the client's lead.
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The nurse is caring for a patient diagnosed with hyperparathyroidism who asks the nurse why parathyroid hormone (PTH) is important. The nurse explains that PTH performs what actions in the body? (Select all that apply.)
A) Stimulation of osteoclasts B) Increased intestinal absorption of calcium C) Stimulation of calcitriol production D) Increased excretion of calcium from kidneys E) Decreased retention of vitamin D
The nurse notes that a patient of African American descent who is taking an oral antihypertensive medication continues to have elevated blood pressure three months after beginning the medication regimen
The nurse suspects that the patient may be a. consuming ethnic foods that interfere with absorption of the drug. b. discarding the medication. c. experiencing allergic reactions to the medication. d. metabolizing the drug differently than expected.
How many nursing journals are indexed in CINAHL?
A) More than 200 B) More than 300 C) More than 400 D) More than 500
A strong, overpowering urge to use a drug is called ____________________
Fill in the blank(s) with correct word