A client reports feeling tired and not refreshed after sleeping even when everyone at home laughs about her loud snoring at night. What should the nurse suspect as being the cause of this client's fatigue?
A) Insomnia
B) Depression
C) Thyroid disorder
D) Sleep apnea
Answer: D
The client is snoring at home, which could indicate obstructive sleep apnea. Insomnia is the absence of sleep. There is not enough information to determine if the client is depressed or has a thyroid disorder.
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During coffee and other breaks, Rosalie, the new RN, is shut out of conversations with the other staff. When she approaches other staff on the unit to ask questions, they turn and walk off in the other direction
The behavior of the staff is characteristic of: a. Dislike. b. Lack of trust in Rosalie's abilities. c. Horizontal violence. d. Cultural incompetence.
When using sterile technique to perform tracheostomy care of a new tracheostomy, which of the following is correct?
1) You will need a single pair of sterile gloves. 2) Place the patient in semi-Fowler's position, if possible 3) Clean the stoma under the faceplate with hydrogen peroxide. 4) Cut a slit in sterile 4 x 4 gauze halfway through to make a dressing.
A couple discusses their childbirth-preparation options with the nurse. They want the father to be actively involved, and for the expectant mother to avoid medications during the birthing process. The nurse's best response is:
1. "The hospital will follow your wishes." 2. "The Leboyer method will provide what you want." 3. "The Bradley method will provide your needs." 4. "The Lamaze method will be easy to follow."
To assess the effect of epoetin alfa on a client with chronic renal failure, the nurse would monitor
a. blood urea nitrogen level. b. hematocrit level. c. leukocyte count. d. serum creatinine level.