A nurse is caring for a patient who suffers from a sleep pattern disturbance. To promote adequate sleep, what are the most appropriate nursing interventions? (Select all that apply.)
a. Straighten and change any soiled bed linens.
b. Synchronize the medication, treatment, and vital signs schedule.
c. Provide personal hygiene before bedtime.
d. Discuss with the patient the benefits of beginning a long-term nighttime medication regimen.
e. Assist the patient to use the toilet before bed.
A, B, C, E
You will make the patient more comfortable in an acute care setting by providing personal hygiene before bedtime. A warm bath or shower is very relaxing. Offer patients restricted to bed the opportunity to wash their face and hands. Tooth brushing and care of dentures also help to prepare the patient for sleep. Have patients void before going to bed so they are not kept awake by a full bladder. While a patient prepares for bed, help to position the patient off any potential pressure sites. Offering a back rub or massage helps relax the patient. Removal of irritating stimuli is another way to improve the patient's comfort for a restful sleep. Diaphoretic patients will benefit from a cool bath and dry clothes or linens. Perform nursing activities before the patient receives sleeping medications or begins to fall asleep. Long-term nighttime medication regimen can lead to abuse and dependence and is to be avoided.
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A nurse in the emergency room (ER) tells the ER manager that she has been too busy with "traumas" to talk to people about advance directives. The ER manager informs the nurse that:
A) It is not a law to provide patient education about advance directives, but it is a professional expectation of this unit. B) All hospitals require advance directives to be completed prior to the patient being admitted. C) It is a federal law to provide patient education about advance directives at the time of hospital admission. D) Although advance directives are voluntary and are not legal in most states, it is a unit policy to complete the form.
The nursing student is learning about blood pressure assessment and asks the instructor about blood pressure values. Which of the following responses is an accurate response?
1. "A normal blood pressure always depends on the client's previous values.". 2. "A normal blood pressure is below 140/90.". 3. "A client with prehypertension has a blood pressure that is greater than 140/90.". 4. "A client with stage II hypertension has a blood pressure that is greater than 160/100.".
John Stuart Mill's insistence that in order for causation to be demonstrated, there must be no alternative explanation for why a change in one variable leads to a change in the other variable
This concept of alternative explanations is the idea that underlies which type of validity? a. Statistical conclusion validity b. Internal validity c. Construct validity d. External validity
Which of the following statements about the current prevalence of obesity is accurate?
a. The current generation of children may be less healthy and have a shorter life expectancy than their parents. b. The current incidence of obesity among American adults has stabilized. c. The current statistics show that greater than 75% of American adults are either overweight or obese. d. The current statistics report that about 50% of American children are either overweight or obese.