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What times should the nurse measure vital signs? Select all that apply

1500.

1600.

1800.

1000.

1200.

0800.

1400.

Question Solution

Correct Answer : A,B,C,D,E,F,G

Choice A rationale

1500 is a valid time for measuring vital signs as part of routine monitoring.

Choice B rationale

1600 is a valid time for measuring vital signs as part of routine monitoring.

Choice C rationale

1800 is a valid time for measuring vital signs as part of routine monitoring.

Choice D rationale

1000 is a valid time for measuring vital signs as part of routine monitoring.

Choice E rationale

1200 is a valid time for measuring vital signs as part of routine monitoring.

Choice F rationale

0800 is a valid time for measuring vital signs as part of routine monitoring.

Choice G rationale

1400 is a valid time for measuring vital signs as part of routine monitoring.

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A. Ask the healthcare provider for a mild sedative for bedtime. B. Take an afternoon nap to make up for missed sleep. C. Drink a mixture of warm water, whiskey, and honey at bedtime. D. Establish a regular time for going to bed and getting up. E. Avoid drinking caffeinated beverages late in the day.

Correct Answer is ["D","E"]

Explanation

Choice A rationale

Asking the healthcare provider for a mild sedative for bedtime may not be the best first-line approach for improving sleep. Sedatives can have side effects and may lead to dependency. Non-pharmacological interventions are generally preferred for managing sleep disturbances in older adults.

Choice B rationale

Taking an afternoon nap to make up for missed sleep can disrupt the sleep-wake cycle and make it harder to fall asleep at night. It is generally recommended to avoid napping during the day to improve nighttime sleep quality.

Choice C rationale

Drinking a mixture of warm water, whiskey, and honey at bedtime is not a recommended practice for improving sleep. Alcohol can disrupt sleep patterns and lead to poor sleep quality. It is better to avoid alcohol before bedtime.

Choice D rationale

Establishing a regular time for going to bed and getting up helps regulate the body’s internal clock and improve sleep quality. Consistency in sleep schedules is a key factor in promoting healthy sleep habits.

Choice E rationale

Avoiding caffeinated beverages late in the day is important for improving sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and stay asleep.

A. Ensure bevel of the needle is pointing up. B. Massage the site gently after injection. C. Hold the syringe perpendicular to the skin. D. Select upper arm as the injection site.

Correct Answer is A

Explanation

Choice A rationale

Ensuring the bevel of the needle is pointing up is crucial when administering an intradermal injection. This technique allows the medication to be deposited just below the surface of the skin, creating a small bleb or wheal. This is important for the proper absorption and effectiveness of the medication.

Choice B rationale

Massaging the site gently after injection is not recommended for intradermal injections. Massaging can cause the medication to spread into the subcutaneous tissue, which can affect the accuracy of the test results or the effectiveness of the medication.

Choice C rationale

Holding the syringe perpendicular to the skin is not appropriate for intradermal injections. Intradermal injections should be administered at a 5 to 15-degree angle to ensure the medication is deposited just below the surface of the skin.

Choice D rationale

Selecting the upper arm as the injection site is not the best practice for intradermal injections. The preferred sites for intradermal injections are the inner surface of the forearm and the upper back below the scapula.

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What times should the nurse measure vital signs? Select all that apply

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Correct Answer is ["D","E"]

Explanation

Correct Answer is A

Explanation

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Take full exam for free What times should the nurse measure vital signs? Select all that apply

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An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. What action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.

Correct Answer is ["D","E"]

Explanation

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

Correct Answer is A

Explanation

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What times should the nurse measure vital signs? Select all that apply