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Foundations Nursing set 8

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Question
Answer
An older adult male is complaining of chest pain. The nurse is able to identify that the patient is experiencing acute pain by asking which question?   show
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show Chronic pain  
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A nurse can adequately classify pain by asking the patient questions focusing on which factors?   show
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nurse caring for patient on cancer floor. patient battling breast cancer, assoc. pain over 2yrs. claims worst pain is numbness in fingers she has been experiencing for the past 3 mos due to chemo treatments. identify cause, patho, duration of acute pain?   show
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show Somatic pain  
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The patient feels a dull achy, pain, which originated in his side. It has lasted for a while, but had a gradual onset. Knowing this patient presents with visceral pain, what might the patient be experiencing?   show
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show Referred pain  
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show Radiating pain  
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show breakthrough pain  
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show Phantom limb pain  
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show "It is pain perceived by a person when there is no physical cause."  
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Which medication is a woman more likely to be prescribed for pain?   show
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The triage nurse in the emergency department realizes that which patient is more likely to report being in pain?   show
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When the nurse in the primary care provider’s office reviews past medical histories, which patient should she be concerned may hide a past diagnosis of cancer pain due to cultural beliefs?   show
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The nurse is caring for a one-year-old with fever. He is crying continuously and cannot be comforted with food or by being held. What are the most appropriate actions for the nurse to do next?   show
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How does soap work?   show
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What is the primary purpose of appropriate hand hygiene   show
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In which situation would it be appropriate for the nurse to use an antiseptic hand rub to perform hand hygiene?   show
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The nurse is discussing the guidelines for proper hand hygiene with nursing assistive personnel (NAP). Which statement made by NAP requires follow-up by the nurse?   show
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show A middle-age female patient receiving chemotherapy for lung cancer  
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A patient with Alzheimer’s disease is being cared for in the medical-surgical unit. As pain assessments are conducted on a patient with a cognitive disorder, what is the nurse mindful of?   show
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The nurse is caring for a postoperative patient. Which behavioral manifestations of pain are included in the pain assessment?   show
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show Pain is what the patient says it is.  
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show Administration of pain medication  
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show Sensory  
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show Response  
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Which stimuli relates to a postoperative incision?   show
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show Burn  
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Which aspect of the brain helps a person localize where on the body the injury has occurred?   show
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four steps in the nociception process.   show
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four steps in the nociception process.   show
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show Pain tolerance  
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During the modulation process of nociception, which endogenous opioid has an influence on the emotional perception of pain?   show
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show Transmission  
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Which neurotransmitters are involved in controlling the inflammatory response?   show
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show Gate Control Theory  
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show Sleep Deprivation Fatigue Risk for Injury  
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show Sleep Deprivation related to frequent awakening of infant as evidenced by parent complaints of lack of sleep. Disturbed Sleep Pattern related to being awakened several times each night.  
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show Readiness for Enhanced Sleep as evidenced by request for sleep hygiene practices at home  
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Which nursing diagnostic label is most appropriate for a patient who sleepwalks?   show
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Which is the most appropriate nursing diagnosis for the patient who snores during sleep and reports feeling very tired after awakening?   show
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show Patient will repeat medication instructions upon discharge.  
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What is an appropriate long-term goal for the nurse to include in a plan of care for a patient who is suffering from Insomnia related to psychological job stress?   show
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hospitalized patient reports disturbed sleep due to the nurse monitoring vital signs at regular interval in the night. Which goal statement is appropriate for this patient with the nursing diagnosis Disturbed Sleep Pattern?   show
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show Patient will remain injury-free during hospitalization.  
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show Patient will sleep at least 90 minutes at a time during hospitalization.  
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Which goal statement should the nurse include in the plan of care for a patient with the nursing diagnoses Disturbed Sleep Pattern and Fatigue?   show
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Which is the best goal statement for the nurse to include in the plan of care for an older patient with the nursing diagnosis of Fatigue, who feels sleepy during day time inspite of getting enough sleep in the night?   show
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show Bruxism Somnambulism Sleep terrors  
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show Avoidance of patient harm  
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A nursing student is teaching her peers about the communication process. What should she include in her teaching?   show
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show The referent initiates the communication.  
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A nurse is teaching a high school student about the five senses as channels of communication. Which choice presented to the student is an example of an auditory channel assessment?   show
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Which option is a type of verbal communication used by a successful nurse?   show
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Which situation shows an example of nonverbal communication when the nurse is assessing the patient?   show
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Why is it important for one nurse to verify documentation with another nurse?   show
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show Forming, storming, norming, performing, and adjourning  
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show Performing  
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Why is the storming phase important in small group communication?   show
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Which question falls within a topical area of SBAR communication?   show
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Which patient scenario fits within the topical area of Background in SBAR communication?   show
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What is the result of a flight nurse utilizing therapeutic communication?   show
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show Feedback  
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show Receiver  
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show Channel  
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show Message  
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Susan, a nursing student, has prepared a scenario for Professor Brown to teach the six key elements of communication. Match the element of the communication process with the example of the element. Susan   show
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show Referent  
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The nurse is obtaining a personal health history from her patient.   show
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The nurse feels confident by using positive self-talk.   show
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show small group  
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A nurse is asked to serve as a professional expert on health care issues.   show
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show Situation  
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show Background  
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Need to find source of MRSA and weak link to contamination   show
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show Recommendation  
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A nurse is sharing potential communication problems with a group of new nurse trainees. Of the scenarios listed, which complies with Regulations of the Health Insurance Portability and Accountability Act (HIPAA)?   show
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Which scenario complies with professional role boundaries?   show
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show "You seem uncomfortable."  
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show Recognize this as a cultural difference in communication and request a female nurse to perform the assessment.  
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The nurse is explaining the patient’s plan of care to the patient and notes that the patient’s eyes are moving from side to side before he responds. How is this particular patient most likely processing the communication?   show
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show "Here are my recommendations for the care of the patient." "The patient has clearer breath sounds this morning." "The patient has a history of COPD and diabetes."  
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After reviewing the side effects of a medication with a patient, the nurse asks the patient if she comprehends. The patient stares blankly, shakes her head, and states, “Sure.” What does this communication tell the nurse?   show
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show Performing  
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show Educating patients and the community in a public forum  
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show "I am going to ask you questions about your health history." "I have developed a plan of care based on the information you gave me in your history."  
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The nurse is asking the patient about his personal health history. Which question is an effective verbal technique for getting more information?   show
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caring for patient had a heart attack. no visitors and is about to undergo a heart catheterization in one hour. When the nurse comes into the room, the patient yells because the nurse is late with his medication. What is the best response from the nurse?   show
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A provider is rounding on the unit. The nurse taking care of one of his patients needs to alert him of new findings in the patient’s assessment. What is the most appropriate way to communicate this to the provider?   show
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show Sit down with the patient and verbally answer all her questions regarding her medications.  
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The nurse is caring for a patient who was diagnosed with cancer. The patient is crying and asks the nurse if she should get chemotherapy treatments. What is the best response by the nurse?   show
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A nursing student is giving a report on the different types of effective nonverbal communication. Which statement made by the student suggests that she understands effective nonverbal communication?   show
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Which vital signs could be part of an objective pain assessment?   show
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child with moderate-to-severe headache related to concussion tells nurse he cannot concentrate in school. has been treated for nine months for concussion symptoms and reports that he sleeps eight hours each night. most appropriate nursing diagnosis   show
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show Readiness for Enhanced Comfort  
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show This is a subjective pain assessment  
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show Dull or aching pain is a subjective finding  
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Which health care professional would the nurse most likely collaborate with to care for an athlete who experiences occasional stress, and muscle pain before or after sports?   show
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show Blood pressure and heart rate  
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show Ineffective Coping  
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show Readiness for Enhanced Comfort  
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The nurse provides a patient with a pain assessment scale. The patient reports a pain level at 8 of 10. What does the nurse know is true regarding this statement?   show
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Following abdominal surgery, the nurse assesses her patient for pain. Which is true regarding pain assessment?   show
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Which health care professional would the nurse most likely collaborate with to care for an athlete who experiences occasional stress, and muscle pain before or after sports?   show
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Which duty can the nurse delegate to the UAP to care for a patient who is experiencing pain?   show
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nurse caring for patient is prescribed pain med and anxiety med. The lowest pain rating the patient reports during the shift is 7/10. With whom should the nurse collaborate to offer non-pharmacologic therapies to the patient?   show
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nurse is helping a patient set goals related to pain. The patient requests for the pain to decrease from 8 of 10 to 2 of 10 on a 0 to 10 numeric scale three days after surgery. Which goal will the nurse identify for the patient?   show
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adult female patient who has had knee surgery states she is eager to begin walking her dog again. Her pain has reduced and she wants to resume exercise time with her pet in one week. What type of goal will the nurse identify for this patient?   show
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Which is most indicative of chronic pain that is not improving?   show
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show Tachycardia  
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show Systolic blood pressure of 140 mm Hg at rest Heart rate of 125 beats per minute at rest Respiratory rate of 24 breaths per minute at rest Patient has a facial grimace  
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show Administration of acetaminophen/oxycodone (Percocet)  
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What do massage therapists and music therapists have in common?   show
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show Tolerance  
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show Diagnostic label, related factors, and evidence statement  
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Which outcome is desirable for a pediatric patient being treated for head lice?   show
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Which factors should the nurse consider when developing an individualized care plan for a patient’s hygienic and self-care needs?   show
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Which activity does the nurse perform when planning for a patient’s hygiene and personal care?   show
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show Ineffective Health Maintenance related to impaired ability to understand due to brain injury, as evidenced by poor hygiene and unkempt appearance.  
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show Assessing patient self-care abilities  
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A patient exhibits matted hair and caked mud and debris under fingernails and toenails. Which nursing diagnosis will the nurse select?   show
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show Personal grooming Partial bath Denture care Hair care  
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Following collaboration about a patient’s hygiene needs, which activities can be delegated to the UAP?   show
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show Delegating nurse  
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show Provides a means for measuring patient self-care progress.  
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Which is a correctly stated hygiene and personal care long-term goal statement?   show
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Which questions will the nurse ask when formulating a measurable hygiene and personal care goal?   show
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show Accommodate the patient's wishes  
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show When the patient requires assistance after discharge  
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Which action by the nurse indicates a collaborative approach to improving a patient’s ability to perform self-hygiene and personal care?   show
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show Personal grooming Partial bath Denture care Hair care  
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show Adult diaper  
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show Small mirror  
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show A frail paraplegic  
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show One with Alzheimer's disease  
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show Red and scaly lesions  
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When reviewing a patient’s chart, the nurse notes the documentation of a pressure ulcer. What would the nurse expect to find upon assessment?   show
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show Dog bite  
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show A. Washing hands with soap and water prior to treatment B. Using gloves C. Using sterile pads while trying to control the bleeding  
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show "I will scrub with hard brushes when I wash my head."  
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show Orange slices  
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show B. Banana C. Gelatin D. Applesauce  
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show A. Red, swollen gums B. Yellow teeth C. Bad breath D. Cracked teeth  
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show A. Stop smoking  
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show D. "Changing my toothbrush every year is important."  
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show Crusting  
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When creating a brochure for parents to help prevent pediculosis, which statement should the nurse include?   show
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A nursing diagnosis of Altered Oral Mucous Membranes related to dental disease will yield which findings upon inspection?   show
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What contributes to an older adult patient’s skin being wrinkled, thin, and dry?   show
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show Keeping the patient's skin clean and dry C. Resting the patient's calves on pillows  
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Which age-related skin issue increases the risk of pressure ulcers?   show
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Which nursing diagnosis best displays sensitivity towards the needs of the patient and family?   show
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What interventions related to sleep should the nurse suggest to the parent of a pediatric patient?   show
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Which non-pharmacologic intervention should the nurse initiate for a patient who is having difficulty falling asleep due to mild back pain?   show
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Which type of exercise should the nurse suggest to the patient just before bed to promote sleep?   show
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show Enlisting the help of friends Dealing with problems at a certain time each day Using relaxation techniques  
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Which patient statement regarding foods that promote sleep indicates the need for further education from the nurse?   show
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show Encouraging deep knee bends  
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Which information should the nurse instruct a patient to include in a sleep diary?   show
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show Assisting the patient to the toilet prior to bed  
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A patient who recently moved to a new location is unable to sleep and asks the nurse about over-the-counter (OTC) medications for sleep. Which drug classification should the nurse suggest to this patient to promote sleep?   show
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Which supplements should the nurse include in a teaching session for a patient who is experiencing chronic insomnia?   show
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A nurse is teaching a patient information related to the safe administration of common sleep medications. Which statement by the patient indicates need for further teaching from the nurse?   show
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