A client is admitted to the intensive care unit with a myocardial infarction. When taking a sleep history, you learn that the client's loud snoring often awakens the partner and that the client frequently experiences unrefreshing sleep
These findings suggest that the client has which of the following?
1. narcolepsy
2. obstructive sleep apnea
3. a normal sleep pattern
4. REM sleep
ANS: 2
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The patient with kidney stones who is awaiting extracorporeal shock-wave lithotripsy (ESWL) has asked the nurse to explain what will be done. The nurse's best response is:
A) "Shock waves will break the stones in the kidney to the size of sand grains." B) "The surgeon will make an incision in the kidney and remove the stones." C) "A scope will be inserted into the kidney and the stones will be removed." D) "The surgeon will make an incision and remove the kidney."
Over lunch in the cafeteria, student nurses are sharing educational information about the patients for whom they are caring. This is a(n) ____
a. Breach of beneficence b. Example of maleficence c. Potential assault and battery charge d. Violation of HIPAA
The nurse is providing education for a client diagnosed with systemic lupus erythematosus (SLE). Which statement will the nurse include in the teaching material?
A) "Excessive inflammation occurs when you have less white blood cells." B) "Removal of dead cells in your body causes an immune response." C) "Your body is in a state of imbalance due to problems removing dead cells." D) "Excessive inflammation occurs when you have abnormally-shaped cells."
The nurse is caring for a client after a Whipple procedure. Which manifestations might indicate that a complication from the operation has occurred? (Select all that apply.)
a. Urinary retention b. Substernal chest pain c. Shortness of breath d. Lack of bowel sounds or flatus e. Urine output of 20 mL/6 hr