When the patient tells the home health nurse that he has flung himself out of bed three times in the course of a violent nightmare, the nurse recognizes the cardinal indicator of:
a. myoclonus.
b. restless leg syndrome.
c. REM sleep disorder.
d. epilepsy.
ANS: C
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A patient being evaluated for cardiac pathology asks the nurse why sodium, calcium, and potassium are so important in the diet. What is the nurse's best response?
1. "The action potentials of the heart muscle cells are dependent on the diffusion of sodium, potassium, and calcium across the cell membrane." 2. "Because you are on potassium supplements, it is important to monitor electrolytes." 3. "Heart rate is affected by the oxygen levels in your body, which involves the attachment of oxygen molecules to these electrolytes." 4. "It is the pacemaker of your heart that is responsible for the heartbeat."
The nurse is reviewing a new prescription for propranolol (Inderal) for a patient with coronary heart disease (CHD). The nurse should call the physician and question this prescription if the patient's history includes what information?
1. asthma and chronic obstructive pulmonary disease (COPD) 2. taking antioxidants 3. taking simvastatin (Zocor) 4. bleeding disorders
The nurse is collecting data from the parents of a 2-year-old child. While attempting to get information from the parents, the child starts to cry, scream, and lash out every time the nurse tries to pick up the child from the mother's arms
Based on this observation, what conclusion would best be considered by the nursing about this 2-year-old child? A) The nurse recognizes that the child is displaying normal toddler development. B) The nurse needs to contact the primary care provider for further psychological assessment of the child and family members. C) The nurse recognizes that the child is being very manipulative and should immediately be taken away from the parents to be further assessed by a nurse practitioner. D) The nurse recognizes that the child is exhibiting development regression.
The leading cause of children being absent from school as a result of a chronic illness is:
1. Diabetes 2. Cancer 3. Asthma 4. Autism