The home health nurse is instructing the family of an older adult patient with arthritis about sleep promotion. What intervention can best promote sleep for the older adult patient?

a. Giving nonsteroidal anti-inflammatory drugs (NSAIDs) in the mornings
b. Administering diuretics in the mornings
c. Encouraging daytime sleeping
d. Avoiding the stimulation of backrubs or warm drinks before bedtime


ANS: B
Older adults sleep lightly. Give NSAIDs before bedtime for comfort. Diuretics should be given in the mornings to reduce having to wake up to go to the bathroom during the night. Daytime sleeping may negatively affect nighttime sleep. Nonpharmacologic interventions are helpful to induce sleep.

Nursing

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The nurse is contributing to the plan of care for a patient who had a myringoplasty. The postoperative plan of care should include what nursing intervention?

a. Restricting fluids b. Encouraging visitors to speak loudly c. Avoiding excessive movement d. Coughing each hour

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A patient with severe heart failure asks why the prescriber has lowered the dosages of most of the patient's daily medications. What is your best response?

a. "With a weaker heart, the drugs stay in your system longer, so you don't need as high a dosage." b. "Your heart drugs enhance the action of your other drugs, reducing the need for higher dosages." c. "Your heart is not strong enough to tolerate these drugs, making the risk for a heart attack higher." d. "The drugs are very expensive, and with these heart problems your health is not expected to improve."

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Why does a nurse move a patient who has been confined to bed for a few days slowly from a sitting to a standing position?

a. Fatigue b. Muscle injury c. Sensory disorientation d. Orthostatic hypotension

Nursing

A newborn born between ___ and ___ weeks of gestation is described as term.

A) 36, 38 B) 38, 42 C) 40, 42 D) 42, 44

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