The patient has expressed difficulty in sleeping. Upon further investigation by the nurse, the patient identifies the following behaviors. Which one should the nurse focus on that may be interfering with the patient's sleep?
A) Exercising after work
B) Taking a warm bath before bedtime
C) Having one or two glasses of wine after dinner
D) Eating a bedtime snack of crackers and juice
C) Having one or two glasses of wine after dinner
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The nurse finds a woman who has recently suffered her third complete abortion crying and saying "Why me? What did I do to deserve being punished like this?" Which response by the nurse is best?
A. Ask the woman if she uses illicit drugs or drinks alcohol during pregnancy. B. Explain that most miscarriages are related to genetic abnormalities. C. Offer to call a clergy member or social worker to visit with the woman. D. Reassure the woman that she is not being punished.
The nurse suspects that a patient is experiencing a neuroendocrine response from low cardiac output in heart failure. What manifestations did the nurse assess to make this clinical decision?
Select all that apply. 1. irregular heart rhythm 2. gastrointestinal bleeding 3. blood pressure 188/94 mmHg 4. nausea, vomiting, and diarrhea 5. heart rate 112 beats per minute
A nurse documents the following data upon assessment of a neonate: heart rate 89 BPM, slow respiratory effort, flaccid muscle tone, weak cry, and pale skin tone. What would be the Apgar score for this neonate?
A) 2 B) 3 C) 4 D) 5
A client tells the nurse that before she leaves for work, she has to make sure her daughter gets to day care and that dinner is prepared. The nurse realizes this client might be experiencing:
1. Role mastery. 2. Role conflict. 3. Role ambiguity. 4. Self-esteem.