Safety, sleep and rest

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3, 4, 5

Which are considered "never events"? Select all that apply. 1. An abdominal infection after a ruptured appendix surgery 2. Administration of unmatched blood in an emergency situation 3. Hypoglycemic episode after insulin administration 4. Sponge left in a client after a hysterectomy 5. Blood clot in the lungs after an orthopedic surgery

1,2,3,4

Which are causes of obstructive sleep apnea? Select all that apply. 1. Being overweight 2. Enlarged tonsils 3. Over 60-years-old 4. Deviated nasal septum 5. History of cigarette smoking Rationales

3,4,5,6

Which neurotransmitters are related to excitatory and inhibitory sleep mechanisms? Select all that apply. 1. Glycine 2. Aspartate 3. Serotonin 4. Histamine 5. Prostaglandins 6. Acetylcholine

1,2,3,4

Which of the factors can contribute to not getting a good night sleep? Select all that app 1. Watching TV while in bed 2. Sleeping with smart phone nearby 3. Caffeine consumption 4. Current medications 5. Exercise/activities

stage 1

Which stage of NREM does consist of very light sleep, eyes roll, pulse and respiration decreases and the person may even denies they are sleeping?

stage 2

Which stage of NREM is light sleep, body continue to slow and you are sleep approximately 10-15 minutes.

sleep

is a cyclically occurring state of decreased motor activity and perception.

B

A nurse is a new employee in a facility learning about The Joint Commission's Patient Safety Goals. What is in included within these goals? A. Minimization of patient falls B. Elimination of never events C. Infection prevention D. Requirement of advanced technologies

insomnia

A patient is showing signs of the inability to obtain a good night sleep and difficulty falling asleep this patient is showing a sign of?

Hypersomia

A patient is sleeping constantly even in the daytime this patient is showing a sign of?

1, 2, 3, 4 and 5

As the nurse caring for William gives him an injection of pain medication, he accidently sticks himself with the used needle. What measure should the nurse have taken to prevent this injury? Select all that apply. 1. Using a needle with a needle guard 2. Not recapping needles 3. Placing syringe and needles directly into sharp container when used 4. Confirming that the sharp container isn't filled 5. Not-hand passing sharps from one person to another

a, b, d and e

Carol, a home health nurse, is caring for a family in a low-income, inner-city neighborhood. Four generations of family live in this small, two-bedroom apartment including William, 81 years old; his daughter, Sonia, 51 years old; her daughter Tasha, 28 years old, and Tasha's sons, Bobby, 6 years old, and Billy, 2 years old. Sonia was recently discharged from the hospital with a healthcare-acquired infection of her surgical wound and requires routine dressing changes. As Carol enters the home she visually scans the environment. Which observations are most concerning? Select all that apply. A. Several throw rugs on the floor B. Space heater on the floor C. Empty beer cans on the coffee table D. Open medication bottles next to the television E. Smoke detector hanging open in the kitchen

parasomnias

If a patient comes in stating that she was told by her husband she get up a night walking around, talking and sometimes she wakes up and she are wet due to enuresis this patient is showing a sign of?

Narcolepsy

If a person fall asleep driving and can't control when they fall asleep this person is showing a sign of?

sleep apnea

If a person stop breathing for a period of time from 10 sec to 2 minutes this person is showing a sign of?

rest

Is a condition in which the body is inactive or engaging in mild activity, after which the person feels refreshed. A person at rest is calm, at ease, relaxed, and free of anxiety and stress

2, 3, 4 and 5

The nurse is caring for an older adult at risk for falls. What should be included in the plan of care? Select all that apply. 1. Keep bed in highest position. 2. Provide nonskid footwear. 3. Keep call light within reach. 4. Clear floor of obstacles. 5. Keep bed wheels locked.

a, b, c and e

The nurse is teaching a group of parents of toddlers about safety. What should be included in the presentation? Select all that apply. A. Encourage child to sleep on his/her back at night. B. Keep the telephone number of the poison control center accessible. C. Have self-closing, locking swimming pool gates. D. Use a front-facing car seat placed in the back seat of the car. E. Cut food into small, bite-size pieces.

2

The nurse responds to a client's call light to find a fire in the bathroom trashcan. The client yells, "I just wanted a cigarette; I didn't think this would happen." What should be the nurse's first action? 1. Pull the fire alarm. 2. Relocate the client away from the fire. 3. Call for additional help. 4. Close the bathroom door.

stage 3

What part of NREM consist of deep sleep, It is thought of physically restoring the body restoring and renewal of tissue.


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