The nurse is explaining sleep deprivation to a client whose sleep history is suggestive of the deprivation. Clinical signs of NREM deprivation include
1. Emotional lability
2. Difficulty getting dressed
3. Impaired judgement
4. Withdrawal
4
Rationale: Emotional lability is a common clinical sign of REM deprivation
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Which of the following statements is true regarding oral care for the prevention of ventilator-associated pneumonia (VAP)? (Select all that apply.)
a. Tooth brushing is performed every 2 hours for the greatest effect. b. Implementing a comprehensive oral care program is an intervention for preventing VAP. c. Oral care protocols should include oral suctioning and brushing teeth. d. Protocols that include chlorhexidine gluconate have been effective in preventing VAP.
A 9-year-old with sickle cell disease is being discharged from the hospital following a sickle cell crisis. The pediatric nurse preparing to discharge the patient provides the following information for his parents
Select all answers that apply. A) The patient will be on antihypertensive medications to prevent another crisis. B) The patient will be prescribed pain medication to take in the event of a crisis. C) The patient will be on prophylactic penicillin to prevent overwhelming sepsis. D) The patient will be on supplemental folic acid to help red blood cell production.
To improve positive outcomes when prescribing for the elderly the nurse practitioner should:
1. Assess cognitive functioning in the elder 2. Encourage the patient to take a weekly "drug holiday" to keep drug costs down 3. Encourage the patient to cut drugs in half with a knife to lower costs 4. All of the above
An 85-year-old man is admitted to the hospital with gastroenteritis and dehydration. He receives a dose of meclizine hydrochloride, an anticholinergic, for vomiting. He begins to hallucinate and talk to his wife, who has been dead for 10 years
Which explanation best describes this behavior? a. Dementia related to advanced age b. Delirium related to dehydration c. Dementia related to early Alzheimer's disease (AD) d. Delirium related to side effect of anticho-linergic