A 67-year-old farmer is at the clinic because he has been sleepy during the day. Which sleep change occurs with age?
a. Older adults spend more time in stage 3.
b. Older adults spend more time in REM sleep.
c. Older adults spend more time in falling asleep.
d. Older adults spend more time in deep sleep.
C
Older adults awaken more often during the night, and it takes more time for them to fall asleep. To compensate they increase the number of naps taken during the day. Older adults spend more time in stage 1 and have less stages 3 and 4 NREM sleep; some older adults have almost no NREM stage 4 or deep sleep. Episodes of REM sleep tend to shorten, and there is less deep sleep and more lighter sleep.
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The nurse is assessing the mental status of a child. Which statement about children and mental status is true?
a. All aspects of mental status in children are interdependent. b. Children are highly labile and unstable until the age of 2 years. c. Children's mental status is largely a function of their parents' level of functioning until the age of 7 years. d. A child's mental status is impossible to assess until the child develops the ability to concentrate.
A health care provider is evaluating the results of hematologic studies for a patient with cancer receiving busulfan (Myleran). Which of the following laboratory results would indicate that the patient is tolerating the drug?
a. Absolute neutrophil count (ANC) of 4500/mm3 b. Platelet count of 40,000/mm3 c. Blood urea nitrogen (BUN) of 18 mg/dL d. Hematocrit of 28 mg/dL
The nurse is caring for an older adult client who has recently lost his job, is experiencing a major physical illness, and lives alone. The client states, "I sometimes wish I wasn't here." When working with this client, the nurse recognizes that
a. an increase in the client's energy level indicates the client is coping better. b. older adult clients have a lower rate of suicide. c. the client should be assessed for imminent danger of doing harm to self. d. when the client begins giving away possessions, it is a positive sign.
A client complains of gingival hypertrophy and weight loss. The nurse knows that this patient has a history of petit mal seizures. What drug is most likely responsible for the client's pathophysiological process?
1. Phenytoin (Dilantin) 2. Ethosuximide (Zarontin) 3. Amobarbital (Amytal) 4. Gabapentin (Neurontin)