The nurse takes into consideration that the patient with moderate Alzheimer's disease in a long-term care facility who "sundowns" would benefit from:
a. social interaction activities in the morning.
b. darkened bedroom to encourage sleep.
c. sedative to enhance initiating sleep.
d. exercise program after supper.
A
Sundowning refers to the patient who is completely oriented during the day but becomes dis-oriented and confused during the evening and night hours. Planning interactive activities when the resident is not confused is beneficial. Exercise programs at night would add to agitation and confusion. Sedatives also frequently cause confusion. Lights should be left on to assist with reo-rientation should the resident wake up at night.
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A child has liver cancer. The most recent results for the alpha-fetoprotein level show it has been reduced by 50%. Which statement by the nurse to the parents and child is most appropriate at this time?
A. "Once the level gets to normal, we can resect the tumor." B. "This shows the cancer is responding to therapy." C. "Unfortunately, the chemotherapy is not working." D. "Your child will need a liver transplant soon."
A client with osteoarthritis tells the nurse about having difficulty walking to the bathroom first thing in the morning. Which nursing action would assist this client?
A) Suggest a family member provide the client with a bedpan. B) Discuss the option of residing in an assisted-living facility. C) Consult with Physical Therapy for an assistive walking device such as a walker or cane. D) Suggest using a bedside commode at home.
The nurse researcher is reading about bivariate descriptive statistics. Bivariate descriptive statistics describe how many relationships between variables?
A) 1 B) 2 C) 3 D) 4
The nurse is reviewing orders for parenteral potassium. Which order is safe for the nurse to implement?
1. Add 20 mEq of KCL to 1,000 mL of IV fluid 2. 10 mEq KCL IV over 1–2 minutes 3. Dilute 20 mEq KCL in 3 mL of NS and give IV push 4. 10 mEq KCL SQ