List eight untoward effects that result from excessive noise.
What will be an ideal response?
· Comfort, rest, and sleep, which are important for patient well-being, are disrupted
· Healing is delayed
· Immune function is impaired
· Heart rate increases
· Blood pressure increases
· Patients may feel very stressed or anxious
· The patient's sleep cycle is disrupted
· Patients may be unhappy with care
· Some patients may become confused or agitated because of sleep deprivation
· Confused patients may begin wandering to escape the noise
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When assessing the home for fall risks and increased safety for an 85-year-old, the home health nurse suggests that:
a. bright lights be kept on at all times. b. sponge baths be taken rather than showers. c. excess furniture be removed. d. loose, comfortable shoes be worn.
The client makes the statement: "I'm afraid to take the baby home tomorrow." Which re-sponse by the nurse would be the most therapeutic?
a. "You're afraid to take the baby home?" b. "I was scared when I took my first baby home, but everything worked out." c. "You should read the literature I gave you before you leave." d. "Don't you have a mother who can come and help?"
The nurse has administered analgesics and elevates the limb for a patient complaining of pain to the leg, which is casted. Thirty minutes after administering the analgesics, the patient states the pain is unrelieved. This may be a sign of:
A) Edema B) A pressure ulcer C) Compartment syndrome D) Disuse syndrome
The nurse explains that the serum creatinine level is a better indicator for renal disorders because serum creatinine
a. closely reflects the dietary intake. b. does not change in other systemic disorders. c. has a constant ratio of 20:1 to blood urea nitrogen (BUN). d. is unaffected by hydration status.