During a routine physical examination, a 66-year-old client reports feeling very tired throughout the day. Which of the following is the nurse's best initial action?
1. Assess the client's sleep patterns.
2. Encourage the client to begin to take a nap each day.
3. Encourage the client to alter the evening routine to reduce potential evening stressors.
4. Ask the healthcare provider to prescribe a medication designed to help the client sleep better.
1
Rationale 1: The client's sleep habits will need to be investigated. If they are inadequate, action will be warranted.
Rationale 2: Not all clients are candidates for napping. The nurse's first action is to assess the client's sleep habits.
Rationale 3: Although changes in the evening routine may be helpful, there is inadequate information to make that recommendation. The nurse's first action is to assess the client's sleep habits.
Rationale 4: It is inappropriate for the nurse to make recommendations to the healthcare provider concerning a prescription at this time. The nurse's first action is to assess the client's sleep habits.
You might also like to view...
A patient is suspected of experiencing an MI at approximately 6:00 AM, at which time laboratory results show an increase in troponin I. The nurse can expect troponin I to peak at what time:
A) 6:00 PM B) 1:00 PM C) 8:00 PM the following day D) 10:00 AM
A nurse had 5 years of experience in a community health clinic when she accepted a position in occupational health. Which of the following best explains how the nurse will know what to do in this new setting?
a. On the basis of past experience, she can focus on relevant aspects and adapt protocols as deemed necessary b. By focusing immediately on critical aspects and determining priorities in the setting c. By following company procedures and relying on assessment checklists and clinical protocols d. By using extensive previous experience, the nurse can grasp situations quickly and initiate appropriate action(s)
A patient asks a nurse what causes dementia. What two most prevalent types of dementia should the nurse consider before responding?
a. Pick disease and Huntington disease b. Alzheimer disease and vascular dementia c. Creutzfeldt-Jakob disease and Pick dis-ease d. Vascular dementia and Huntington dis-ease
When should a nurse consider culturing a wound?
a. When the tissue is clean and dry b. When exudate is not present c. When the patient is afebrile d. When the surrounding area shows inflammation