A client tells the nurse that she has difficulty sleeping when she has to rotate between working the day shift and the night shift. The nurse realizes that which of the following is most likely being disrupted in this client?
a. ultradian rhythm c. infradian rhythms
b. circadian rhythm d. circannual rhythms
ANS: B
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A 68-year-old male complains to his family physician that when he tests his blood pressure using a machine at his pharmacy, his heart rate is nearly always very low
At other times, he feels that his heart is racing, and it also seems to pause at times. The man has also had occasionally light-headedness and a recent syncopal episode. What is this client's most likely diagnosis and the phenomenon underlying it? A) Sick sinus syndrome as a result of a disease of his sinus node and atrial or junctional arrhythmias B) Ventricular arrhythmia as a result of alternating vagal and sympathetic stimulation C) Torsade de pointes as a result of disease of the bundle of His D) Premature atrial contractions that vacillate between tachycardic and bradycardic episodes as a consequence of an infectious process
A client is seen in the orthopedic clinic for complaints of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed
What procedure will the nurse schedule the client for? A) Left hip arthroplasty B) Left hip arthroscopy C) Open reduction and internal fixation of the left hip. D) Closed reduction of the left hip.
Anti-embolic stockings are in place on the obese postsurgical patient. Which statement accurately describes the standard of care in regard to anti-embolic stockings?
a. The stockings should remain in place con-tinually for the first 24 hours. b. The stockings should fit tightly at the knee and ankle. c. The stockings should be removed ap-proximately 20 minutes every shift. d. The stockings should be removed when ambulating.
A 91-year-old nursing home resident has been receiving meperidine (Demerol) injections for right shoulder pain. During the morning assessment, the nurse finds the resident irritable and jumpy. Which nursing actions and rationales is appropriate?
a. Administer a dose of Demerol because the patient is exhibiting signs of withdrawal. b. Administer a dose of Demerol because these are symptoms of pain in an older adult patient. c. Notify the registered nurse (RN) or physician that the resident may be experiencing toxic effects of Demerol. d. Assess the patient's pain level before determining the appropriate dose of Demerol to administer.