The nurse needs to awaken a patient to take medication in the middle of the night
The patient has not had any sleeping medications or other preparations that would cause drowsiness. The nurse has to use vigorous stimulation to awaken the patient. What stage of sleep is this patient most likely in?
a. Stage 1, nonrapid eye movement (REM)
b. Stage 2, non-REM
c. Stage 3, non-REM
d. Stage 4, non-REM
Question 2An older woman asks the nurse why she suddenly has a deficiency in B vitamins as her eating and cooking habits have not changed. What response by the nurse is best?
a. Something has to be different now.
b. You can't absorb B vitamins like before.
c. Your need for B vitamins has increased.
d. The guidelines have been increased.
Question 3The nurse working with older patients would assess which patient as being at highest risk for developing secondary hypothermia?
a. The patient who has osteoarthritis and li-mited mobility
b. The patient who has a raised rash on both arms
c. The patient who drinks four alcoholic drinks a day
d. The patient who takes furosemide (Lasix)
Question 4A patient wants to use an herbal preparation to help with decreased sleep. What response by the nurse is best?
a. There are no research studies on these herbal preparations.
b. Why don't you try exercise during the day first?
c. Have you had a physical exam any time recently?
d. Why do you want to use an herbal prod-uct for insomnia?
Question 5An older patient has developed moderate muscle weakness on the left side as a result of a cerebral vascular accident (CVA, stroke). The nurse determines the patient possesses the heal-thiest view of self-wellness when heard stating
a. I'll certainly miss hiking, but I guess I'll find something else to do outdoors.
b. I was getting too old to safely practice karate.
c. I've decided to take up oil painting be-cause it's difficult for me to knit.
d. It was getting difficult to work in the garden anyway.
Question 6An older patient is being treated for arthritic pain with a nonsteroidal anti-inflammatory drug (NSAID). Which question best assesses for side effects of this medication class?
a. Have you noticed your heart skipping beats since you began taking this drug?
b. Did you know you should not to stand up too quickly?
c. Are you aware that you should take your pain medication with food?
d. Have you had any episodes of shortness of breath since starting this medicine?
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