The home health nurse instructs the family of an older adult patient with arthritis that his sleep can be promoted by:
a. giving his nonsteroidal anti-inflammatory drugs (NSAIDs) in the mornings.
b. administering his diuretics in the mornings.
c. encouraging daytime sleeping.
d. avoiding the stimulation of backrubs or warm drinks before bedtime.
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. Nonpharmacological interventions are helpful to induce sleep.
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Nurses play a role in the delivery of palliative care, which may extend beyond the patient with a cancer diagnosis. What is the goal of palliative care?
A) Improve the patient's and family's quality of life. B) Support aggressive treatment for cure. C) Provide physical support for the patient. D) Allow the patient to develop a separate plan with each discipline of the health care team.
The healthcare provider prescribes misoprostol (Cytotec) for a female client for the treatment of peptic ulcer disease. What should the nurse ask the client prior to administration of this medication?
A) "Is there any chance that you are pregnant?" B) "Are you currently sexually active?" C) "Are your menstrual cycles irregular?" D) "Do you plan on becoming pregnant in the next few months?"
The parents have understood the nurse's teaching with regard to colostomy stoma care for their infant if they state
1. "We will change the colostomy bagwith each wet diaper." 2. "We will use adhesive enhancerswhen we change the bag." 3. "We will watch for skin irritationaround the stoma." 4. "We will expect a moderate amountof bleeding after cleansing the area around the stoma."
The elderly client comes to the clinic reporting gastrointestinal problems, including frequent constipation and indigestion, but denies any recent weight loss. The nurse initially recognizes that these symptoms
1. indicate a concern and could be caused by cancer. 2. indicate the need for an upper and lower GI x-ray series. 3. could be related to normal changes in muscle tone and activity. 4. are probably indicative of a gastric ulcer or colitis.