List eight general questions you might ask R.M. to assist in determining what is going on
What will be an ideal response?
• When did you first notice the fatigue?
• What makes it better? What makes it worse?
• Do you have trouble with short-term memory?
• What is your normal blood pressure?
• Do you have any chest pain?
• Do you have any swelling or edema in your extremities?
• Do you have any problems sleeping at night? Do you snore loudly? Do you wake up with a
headache in the morning? Are you sleepy when you wake up despite getting a good night's sleep?
Do you fall asleep at inappropriate times?
• Have there been any recent changes in appetite or fluctuations in weight?
• How do temperature changes affect you? Do you sweat in hot weather?
• Has your skin color changed recently?
• Have there been any changes in bowel elimination?
• Do you have a family history of anemia, thyroid conditions, or other hormone problems?
• Describe your normal menstrual cycle.
• Have there been any recent changes in your life, your family, or your job?
• What do you look forward to on a daily basis?
• Have there been any other changes in your health?
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An older adult is having difficulty sleeping and asks a nurse, "My neighbor told me that I should take melatonin to help me sleep. What do you think about this?" The nurse responds to the indi-vidual's question using the knowledge that:
(Select all that apply.) a. in the natural state melatonin is produced by the pineal gland and regulates the sleep-wake cycle. b. melatonin is available in both immediate and extended release forms; however, on-ly the immediate form is effective. c. there are no significant adverse effects to melatonin. d. it must be used with caution in a patient that is taking other medications that have central nervous system depressant effects. e. evidence shows that it is effective at de-creasing sleep onset latency, improving quality of sleep, and improving morning wakefulness.
A nurse performs a sterile urine specimen collection from an ileal conduit. Which action by the nurse is incorrect and may lead to inaccurate results?
A. Removing the collection pouch prior to obtaining the sample. B. Inserting the tip of the catheter into the stoma approximately 4 cm (1.5 inches). C. Obtaining the sample from the collection pouch. D. Placing towels around the stoma.
The nurse is overwhelmed with the amount of information concerning vitamin D supplementation in post-menopausal women. Which strategy would be the most appropriate for this nurse to use to find the best practice information on this topic?
1. Use any popular Internet search engine to initiate a search of the topic. 2. Read as many nursing journal articles about the topic as possible. 3. Read about the topic on a site such as Joanna Briggs. 4. Search for the topic on the World Health Organization (WHO) website.
Why would a public health nurse want to know about morbidity and mortality statistics on the local, state, and national level?
a. To be able to share current trends in health problems with the community b. To be able to observe the community's statistics over time and compare the community with other communities c. To justify local budgets and the need for increased income from citizens d. To publicize current health issues and suggest appropriate actions to citizens