A client who has sleep apnea is reporting constant daytime sleepiness. The client has multiple other chronic diseases. What is the nurse's best action?

a. Refer the client for surgery.
b. Perform a health history.
c. Request an order for a sleeping pill.
d. Move the client to a private room.


B
The nurse should first assess the client and determine whether he or she has other chronic dis-eases. If the client's other disorders are not contradictory, the client may be eligible for therapy with modafinil (Attenace) to increase wakefulness during the day. Certain cardiac disorders may prohibit the use of this drug owing to its simulative effects. A sleeping pill would not be an ap-propriate intervention for a client with sleep apnea. A private room will not help to increase the client's sleep in sleep apnea.

Nursing

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A home health nurse is preparing to make the initial visit to a new patient's home. When planning educational interventions, what information should the nurse provide to the patient and his or her family?

A) Available community resources to meet their needs B) Information on other patients in the area with similar health care needs C) The nurse's contact information and credentials D) Dates and times of all scheduled home care visits

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While eating a meal in the hospital, a patient demonstrates difficulty breathing and signs of choking. The nurse realizes that the patient is experiencing which condition?

1. Laryngeal obstruction 2. Pulmonary emboli 3. Epiglottitis 4. An acute myocardial infarction

Nursing

The nurse is selecting a health appraisal related to alcoholism to assess health risk in a client. Which are examples of information that should be included in the appraisal? (Select all that apply.)

A) Signs and symptoms of alcoholism B) Recommended daily limit of alcoholic drinks consumed per day C) Examples, such as frequently drinking an alcoholic beverage in the morning D) Incidence rates of alcoholism in the United States E) Information on local substance abuse programs

Nursing

Your 54-year-old male patient complains of a painless "lump" in his lower left abdomen that comes and goes for the past couple of weeks. When examining the abdomen, you should have the patient:

A. Lie flat and take a deep breath B. Stand and bear down against your hand C. Prepare for a digital rectal examination D. Lie in a left lateral recumbent position

Nursing