The patient has been in the critical care unit for 3 weeks and has been on an intra-aortic balloon pump for the past 3 days
The patient's condition has been serious, and hourly assessments and vital signs have been necessary. The nursing staff has noted that the patient has been unable to achieve sleep for more than 30 minutes at a time. The patient has been given diazepam (Valium) prn. The anticipated effect of diazepam on the patient's sleep is
a. a decrease in NREM stage 1 .
b. an increase in NREM stage 3 .
c. total NREM suppression.
d. REM suppression in larger doses.
D
Diazepam increases NREM stage 1 and reduces NREM stages 3 and REM. REM suppression is dose related.
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If a patient sustained an injury to the apneustic center in the lower pons area, in which of the following areas would you most expect the patient to exhibit problems?
a. Respiratory rate c. Respiratory rhythm b. Triggering exhalation d. Depth of respiration
To relieve a leg cramp, what should the client be instructed to perform?
a. Dorsiflex the foot. b. Apply a warm pack. c. Stretch and point the toe. d. Massage the affected muscle.
The nurse is trying to give oral medication to an uncooperative child. The nurse's best course of action is to:
a. tell the child that you don't think the child dares to take the medication b. tell the child that he will get a prize if he takes the medication c. let the child know he will become sicker if he doesn't take the medicine d. allow the child to pretend he is giving medicine to a stuffed animal first
Which type of bacteria cause infection when a patient's immune system is impaired?
a. Pathogenic b. Nonpathogenic c. Gram negative d. Opportunistic