The client asks for a food suggestion to promote sleep at night. Which does the nurse suggest to the client?
1. A cup of hot cocoa
2. An alcoholic beverage
3. Milk products or cheese
4. Freshly popped popcorn
3
3. The nurse suggests milk products or cheese to promote sleep at night because these products contain tryptophan and it is known to help induce sleep.
1. The nurse avoids suggesting hot cocoa because the cocoa contains caffeine.
2. The nurse avoids suggesting alcoholic beverages at bedtime because they can have a diuretic effect and disrupt sleep with the need to void and because of the risk of dependency.
4. Popcorn is not recommended as a food to induce sleep because it is difficult to chew and can stimulate the client to wakefulness.
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A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The client's arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3- 22 mEq/L. Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula. b. Apply a paper bag over the client's nose and mouth. c. Administer 50 mL of sodium bicarbonate intravenously. d. Administer 50 mL of 20% glucose and 20 units of regular insulin.
What is the advantage of giving metformin, a biguanide, to a client requiring oral hypoglycemic agents?
a. It can be administered on a more flexible schedule. b. It does not have the major side effects of nausea, abdominal discomfort, and diarrhea. c. It does not increase insulin release or produce hypoglycemic episodes. d. It does not tend to react with other medica-tions.
A patient with Parkinson disease asks the nurse what an "on–off" problem means with medications. What should the nurse explain to the patient?
1. "The ‘on' times will be when your symptoms are under control; the ‘off' times are when you will have increased problems with symptom management." 2. "There will be times when you are depressed (off) and when you are happy (on)." 3. "You will have to take breaks from this medicine by stopping (off) and starting it (on) again, so you don't build up a tolerance to it." 4. "I'm not a pharmacist, so I shouldn't be answering this question."
It is important to be able to compare and contrast population-based health care needs with unique needs of other population groups. Which characteristics are reflective of Medicare clients with acute myocardial infarctions?
1. Less likely to be treated in an urban hospital. 2. Less likely to receive recommended treatments in a rural hospital. 3. Urban hospitals have higher adjusted 7-day post–acute myocardial infarction complications. 4. Rural hospitals have significantly higher adjusted 30-day post-AMI death rates from all causes. A) 1, 3 B) 1, 4 C) 2, 3 D) 2, 4