A nurse is admitting a patient to the hospital. The patient admits to a history of sleep problem. Which of the following questions will help the nurse understand the severity of the patient's sleep problem?
a. "How long does it take you to fall asleep?"
b. "Tell me why you think you have a sleep problem."
c. "Have you been told that you snore loudly?"
d. "When did you notice the problem?"
A
Severity questions include: How long does it take you to fall asleep? How often during the week do you have trouble falling asleep or staying asleep? Nature of the problem question includes: Tell me what type of problem you have with your sleep. Signs and symptoms question includes: Have you been told that you snore loudly? Onset and duration question includes: When did you notice the problem?
You might also like to view...
The client has been abusing alcohol for several years and tells the nurse, "I used to drink a pint of whiskey every day. Now I get sick and pass out after just two drinks." What does the nurse correctly recognize about this client?
1. The client has brain damage from the alcohol and cannot remember how much he consumes. 2. The client is in denial and most likely is misrepresenting the amount of alcohol he consumes. 3. The client could have liver damage, resulting in an inability to metabolize large amounts of alcohol. 4. The client's symptoms are related to hyperglycemia; he might have pancreatic damage.
When caring for a client at a health care facility, the nurse discovers that the client is unable to read or write. Which of the following teaching approaches is most useful for the client?
A) Teach the client basic reading and writing. B) Use verbal and visual presentation modes. C) Keep the teaching sessions short. D) Involve the client in an active way.
The nurse is planning care for elderly clients in long-term care facilities. What should be the nurse's highest priority when planning this care?
1. Providing regular periods of exercise daily 2. Maintaining a safe environment 3. Ensuring that they consume at least 1200 calories a day 4. Providing opportunities for social interactions
His vital signs are now 160/72, 64, 10, 98.7 ° F (37.1 ° C), and Spo2 94%. What is your concern
and why? What will be an ideal response?