What Should the Nurse Do?
1
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A first-grader’s parents visit the pediatrician’s office to discuss daily sleepiness interfering with school, including difficulty concentrating, irritability, and dozing off during class. The nurse asks about sleeping habits, and the parents describe it is difficult to get the child to sleep before 11:00 p.m.; they don’t understand what is happening. What should the nurse do?
2
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A patient describes having difficulty falling asleep, and waking several times each night. The patient’s electronic health record indicates the patient smokes a pack of cigarettes daily and has for ten years. To help the patient improve sleep habits, what should the nurse do?
- Insist the patient should quit smoking immediately.
- Advise the patient to avoid smoking within two hours of bedtime.
- Suggest the patient reduce cigarette smoking to a half-pack per day.
- Recommend the patient drink warm milk an hour before bedtime.
An adult patient describes problems with distorted depth perception and difficulty seeing distances. Less than a week ago, the patient’s optometry examination was normal.
3
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What hypothesis might the nurse have as to what is happening to this patient?
4
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What should the nurse do?
5
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A patient with a history of hepatitis is planning to begin taking kava kava to improve sleep. What should the nurse do?