An older adult client with cardiac disease describes a decline in the amount of sleep and difficulty falling asleep at night. What should the nurse consider is occurring with this client?
A) Normal signs of cardiac disease
B) Signs of anxiety and depression
C) Normal signs of aging
D) Normal signs of respiratory disease
Answer: B
Drastic changes in sleep patterns may be early signs of underlying anxiety and depression and should be investigated and not written off as normal changes of aging. Pain, respiratory disease, and cardiac disease can also interfere with sleep, but sleep pattern disturbances need to be assessed further to determine if there is an underlying psychiatric problem.
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A patient is scheduled for hip replacement surgery in a month. Which statement made by the client demonstrates understanding for the preoperative instructions?
A) "I will stop taking my antihypertensive medications prior to my surgery." B) "I will stop taking my aspirin prior to my surgery." C) "I will have heat packs applied to my hip immediately after surgery." D) "I will be able to walk independently when I wake up from surgery."
The nurse warns a client who has been found to be an acceptable candidate for a kidney transplant, that now the greatest impediment to renal transplantation is
a. high potential for rejection. b. high risk for infection. c. insufficient financial resources. d. lack of sufficient donor organs.
An older surgical patient is having an epidural catheter inserted for pain control. What does the nurse realize is an advantage of using this method of pain medication for this patient?
1. improved bowel activity 2. faster wound healing 3. earlier ambulation 4. improved appetite
When caring for a client receiving an ophthalmic corticosteroid, the nurse should:
a. monitor the client for headache and blurred vision. b. test the client's intraocular pressure every four hours. c. monitor the client's temperature every four hours. d. instruct the client to return to the clinic for each medication administration.