91影视

A hospitalized client tells the nurse that he has been unable to sleep. To obtain more data related to the client鈥檚 sleep problem, the nurse should first ask: 1\. 鈥淗ow many hours of sleep do you need?鈥� 2\. 鈥淒o you take naps during the day?鈥� 3\. 鈥淐an you tell me about your sleep problem?鈥� 4\. 鈥淒o you need medication to help you sleep?鈥�

A 39-year-old client is seen in the clinic because she has been sleeping 14鈥�16 hours a day. The client states that she is 鈥渄epressed because my mother died from cancer two months ago.鈥� A priority nursing diagnosis for this client is: 1\. altered sleep patterns related to depression and grief response. 2\. depression related to loss of mother and excessive sleeping. 3\. sleep pattern disturbance related to inability to resolve grief. 4\. sleep pattern disturbance related to grief process and loss of mother.

The nurse is caring for a client who had a restless night due to postoperative pain. When the nurse enters the room at 7 AM for morning vital signs, the client is sound asleep. The nurse should: 1\. document that the client was asleep at 7 AM and leave the room. 2\. assess the client鈥檚 vital signs while trying not to disturb him. 3\. ask the night shift nurse what the client鈥檚 vital signs were at 4 AM. 4\. allow the client to rest and assess the vital signs later in the morning.

A 79-year-old client tells the nurse that she has been taking Prozac for several months but still feels tired after 8 hours of sleep. The nurse should assess the client for: 1\. hallucinations. 2\. depression. 3\. nightmares. 4\. twitching.