A female patient who is having a myocardial infarction
complains of pain that is situated in her jaw. The nurse
documents this as what type of pain? Correct Answer Referred
pain
A nurse assesses a patient's body temperature in the late
afternoon as 37.2°C (99°F). What would be the nurse's best
action related to this slight elevation in temperature? Correct
Answer Record the temperature as a normal finding.
A nurse caring for patients in a busy hospital environment
should implement which recommendation to promote sleep?
Correct Answer Keep the room cool.
A nurse caring for patients in a long-term care facility is
implementing interventions to help promote sleep in elderly
patients. Which action is recommended for these patients?
Correct Answer Increase physical activities during the day.
A nurse formulates the following diagnosis for an elderly patient
who is having trouble getting to sleep at night: Disturbed Sleep
Pattern: Initiation of Sleep. Which of the following nursing
interventions would the nurse perform related to this diagnosis?
Select all that apply. Correct Answer Arrange for assessment
for depression and treatment.
Discourage napping during the day.
Encourage patient to engage in some type of physical activity.
Assess medication for side effects of sleep pattern disturbances.
, A nurse instructor is teaching a class of student nurses about the
nature of pain. Which statements accurately describe this
phenomenon? Select all that apply. Correct Answer Pain exists
whenever the person experiencing it says it exists.
Pain is an emotional and sensory reaction to tissue damage.
Pain is classified by duration, location, source, transmission, and
etiology.
A nurse is assessing patients in a skilled nursing facility for
sleep deficits. Which patients would be considered at a higher
risk for having sleep disturbances? Select all that apply. Correct
Answer A patient who has uncontrolled hypothyroidism
A patient with coronary artery disease
A patient who has gastroesophageal reflux (GERD)
A nurse is caring for a patient who states he has had trouble
sleeping ever since his job at a factory changed from the day
shift to the night shift. Which diagnosis would be most
appropriate for this patient? Correct Answer Disturbed Sleep
Pattern: Altered Sleep-Wake Pattern
A nurse is discussing with an older female patient the factors
that affect sleep. What fact does the nurse teach her? Correct
Answer Aging decreases the amount of REM sleep a person
experiences.
A nurse is performing a sleep assessment on a patient being
treated for a sleep disorder. During the assessment, the patient
falls asleep in the middle of a conversation. The nurse would
suspect which disorder? Correct Answer Narcolepsy
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