A nurse is discussing with an older adult patient measures to take to induce sleep. What teaching point might the nurse include?
A) Drinking a cup of regular tea at night induces sleep.
B) Using alcohol moderately promotes a deep sleep.
C) Having a small bedtime snack high in tryptophan and carbohydrates improves sleep.
D) Exercising right before bedtime can hinder sleep.
Answer; C) Having a small bedtime snack high in tryptophan and carbohydrates improves sleep.
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An emergency room nurse initiates care for a client with a cervical spinal cord injury who arrives via emergency medical services. Which action should the nurse take first?
a. Assess level of consciousness. b. Obtain vital signs. c. Administer oxygen therapy. d. Evaluate respiratory status.
The role of the mentee needs to be understood early in the mentoring relationship. What is a characteristic or example of the mentee's role?
a. Not interrupting the mentor b. Absorbing what the mentor explains in detail c. Establishing personal short- and long-term goals d. Finding out what the mentor has to offer in terms of experience
Which clients would the nurse evaluate as unsuitable for the administration of fentanyl as anesthesia?
Standard Text: Select all that apply. 1. A 60-year-old with history of emphysema 2. A 17-year-old who sustained a head injury in a motor vehicle accident 3. A breast-feeding mother 4. A 58-year-old with type 2 diabetes mellitus 5. A 70-year-old with a history of ulcerative colitis
The nurse is preparing discharge instruction for a client who is going home with a surgical wound on the coccyx that is healing by secondary intention. What is the priority nursing diagnosis that should guide the discharge instruction plan?
A. risk for deficient fluid volume B. risk for infection C. disturbed body image D. acute pain