A nurse who works night shift says, "I am exhausted most of the time. I sleep through my alarm. Sometimes my brain does not seem to work right. I am worried that I might make a practice error."
Which question should the nursing supervisor ask first? a. "What stress are you experiencing in your life?"
b. "How much sleep do you get in a 24-hour period?"
c. "Would it help if you do some exercises just before going to bed?"
d. "Have you considered using a hypnotic medication to help you sleep?"
B
Total sleep hours should be ascertained before seeking to correct a sleep disorder. In this case, the patient describes sleep deprivation symptoms rather than a sleep disorder. The correct response is the only option that addresses total sleep hours.
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An HIV-positive child has low titers after a measles vaccination. She has now been exposed to the disease. Which action by the nurse is most appropriate?
A. Administer prophylactic antibiotics. B. Place the child in protective isolation. C. Prepare to administer immunoglobulin. D. Repeat the vaccination as soon as possible.
Which of the following would the community health nurse identify as a major limitation for using biological markers for screening for substance use?
A) Sensitivity of the test B) Cost of the test C) Factors influencing the test D) Ease of obtaining a specimen
Concerning parents' early and extended contact with their infant and the relationships built, nurses should be aware that:
1. immediate contact is essential for the parent-child relationship. 2. skin-to-skin contact is preferable to contact with the body totally wrapped in a blanket. 3. extended contact is especially important for adolescents and low-income women because they are at risk for parenting inadequacies. 4. mothers need to have precedence over their partners and other family matters.
The parents of a toddler are concerned that their child is so messy during eating, so they just feed him. The nurse's best response to this is:
A) "Your child will never learn if you don't let him experience." B) "At least you're sharing meals as a family. That's the most important." C) "That's probably best. I'm sure it makes your meal time more pleasant." D) "Motor skills keep improving with age. Try not to get frustrated with the mess."