The nurse teaches a client about measures to combat seasonal
affective disorder (SAD). Which statement by the client
indicates to the nurse that teaching was effective?
- 1. "I will make sure to get eyeglasses that have ultraviolet
filters."
- 2. "I will sit within 3 feet of artificial light for 30 minutes a
day."
- 3. "I will continue phototherapy until Spring."
- 4. "I will only use phototherapy during daytime hours."
- 3. "I will continue phototherapy until Spring."
(The client diagnosed with seasonal affective disorder should
use phototherapy beginning in the Fall and continue use until
Spring.)
A young adult client diagnosed with a terminal illness states,
"I'm feeling a lot better than I did last week. I think the doctor is
wrong about my diagnosis." Based on the stages of grief
described by Kübler-Ross, the nurse recognizes the client is
experiencing which stage?
- Acceptance
- Denial
,- Anger
- Bargaining
- 2. Denial.
(The client's statement is reflective of the denial stage, during
which the individual is in disbelief of the situation and may
request a second opinion.)
A client reports difficulty falling asleep at night. Which activity
will the nurse recommend to this client? (Select all that apply.)
- 1. Eat a heavy meal within 2 hours of bedtime.
- 2. Have a glass of wine 30 minutes before bedtime.
- 3. Arise at a specific hour every morning.
- 4. Exercise 1 hour before bedtime.
- 5. Drink warm milk before bedtime.
- 6. Take a warm bath before bedtime.
- 3. Arise at a specific hour every morning.
(Arising at a specific hour every morning promotes sleep by
following a set schedule.)
- 5. Drink warm milk before bedtime.
(Warm milk promotes sleep because milk may encourage the
release of serotonin, which has a calming effect.)
- 6. Take a warm bath before bedtime.
,(A warm bath promotes sleep by helping with relaxation.)
A client receives amikacin sulfate 15 mg/kg/day IV in three
divided doses. The client's weight is 176 lb. How much of the
medication will the nurse administer to deliver one dose to the
client. (Do not round. Record your answer using a whole
number.)
400mg
The nurse provides care to a client diagnosed with severe liver
disease. Which intervention is appropriate for the nurse to
include in this client's plan of care?
- 1. Low-sodium IV albumin.
- 2. Sodium polystyrene sulfonate enemas.
, - 3. Sengstaken-Blakemore tube.
- 4. Low-protein, high-carbohydrate diet.
- 4. Low-protein, high-carbohydrate diet.
(A low-protein, high-carbohydrate diet will help reduce the risks
of hepatic coma by reducing the level of ammonia that results
from the
breakdown of proteins.)
The nurse provides care for a client diagnosed with Guillain-
Barré syndrome. Which statement indicates to the nurse that the
client's family member understands the diagnosis? (Select all
that apply.)
- 1. "The syndrome only lasts 1 or 2 weeks."
- 2. "Intravenous immunoglobulins are often used for treatment."
- 3. "The cause of the syndrome may be a virus."
- 4. "This illness doesn't cause shortness of breath."
- 5. "My loved one's ability to walk will be affected."
- 6. "A feeding tube may be required for treatment."
- 2. "Intravenous immunoglobulins are often used for
treatment."
(Intravenous immunoglobulins decrease circulating antibody
levels and reduce the amount of time the client is immobilized
and can
prevent the need for mechanical ventilation. This statement
indicates correct understanding of the information presented.)
- 3. "The cause of the syndrome may be a virus."