As the nurse makes night rounds on sleeping clients, several clients are noted to be breathing very slowly. Stages of NREM sleep account for some decreased physiological functions
Identify the stage that correlates to the choice given: Standard Text: Click and drag the options below to move them up or down. 1. Lasts only a few minutes.
2. Light sleep; body continues to slow down.
3. Sleeper difficult to arouse
4. Heart and respiratory rates 20–30% below waking rates
1,2,3,4
Rationale: Stage I NREM sleep is very light sleep that lasts only a few minutes; the person feels drowsy and relaxed.
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The patient in labor receives morphine every 2 hours to manage labor pain. After 22 hours of labor the woman delivers a baby boy. What is the nurse's priority action related to the newborn?
A) Monitor for opioid effects. B) Administer naloxone. C) Monitor for withdrawal syndrome. D) Assess for congenital anomaly.
The nurse assesses urine output following administration of a diuretic. Which step of the nursing process does this nursing action reflect?
A) Assessment B) Outcome identification C) Implementation D) Evaluation
A client is scheduled for an abdominal paracentesis. Which of the following should the nurse instruct the client to do before the procedure?
1. Empty the bladder. 2. Drink a large glass of water. 3. Eat a full meal. 4. Sleep for several hours.