The nurse knows that dyssomnias are: (Select all that apply.)
a. difficultly getting to sleep.
b. stages of sleep.
c. inability staying asleep.
d. being excessively sleepy.
e. falling asleep during the day.
ANS: A, C, D, E
Dyssomnias are disorders associated with getting to sleep, staying asleep, or being excessively sleepy. Changes in the amount or timing of sleep result in daytime sleepiness, poor concentration, and a feeling of not being rested. The stages of sleep are REM and NREM.
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The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. The behavior consistent with this diagnosis is the patient:
a. talks excitedly about going home. b. suspiciously watches the staff. c. stands on one foot for 15 minutes. d. states he has a cat under his bed that talks to him.
The nurse notes that a 36-hour-old newborn's serum bilirubin level has increased from 14 mg/dL to 16.6 mg/dL in an 8-hour period. What nursing intervention would be included in the plan of care for this newborn?
1. Continue to observe. 2. Begin phototherapy. 3. Begin blood exchange transfusion. 4. Stop breastfeeding.
The nurse is caring for a patient who will be receiving radiation therapy for cervical cancer. Patient education should include which skin care interventions?
Select all that apply. 1. wound and skin care 2. applying oil-based lotions to the skin 3. how to remove the markings from the skin 4. monitoring for evidence of fistula formation 5. applying heat to the abdomen with a heating pad
The LPN/LVN reads this statement, "Stress is the body's reaction to the mind's analysis of a situation." The LPN/LVN concludes that the critical factor to teach nursing assistants to help them control their stress levels is to
a. manage how they think about a situation. b. consider the stressful situation as subjectively as possible. c. focus on developing good clinical skills. d. apply time management principles.