Increased risk of infections, especially those caused by typical bacterial, viral, and fungal species.
What medications should not be taken with prednisone?Patients who have a history of documented medication or formulation hypersensitivity should not take prednisone. Systemic fungi infections are a contraindication to the administration of prednisone.
When taking prednisolone, what should I avoid?While using steroid tablets, you can often consume alcohol. However, avoid drinking excessive amounts as this may aggravate your stomach. The majority of foods are safe to eat while taking steroid tablets. However, avoid consuming liquorice while taking prednisolone as this may cause your blood levels to rise.
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which expected outcome about nutrition would be appropriate for a client who has had a total gastrectomy for gastric cancer? the client will:
The majority of dumping syndrome patients suffer signs and symptoms 10 to 30 minutes after eating, including abdominal cramping and diarrhea.
How long can someone live after having a gastectomy?
Overall five-year survival and disease-free survival rates for group A were 61% and 60%, compared to 50% and 43% for group B. Patients over the age of 70 should carefully consider having a gastrectomy if the procedure may be justified by a low mortality rate and favorable long-term results.
How does life change following a gastrectomy?
After undergoing a gastrectomy, you'll probably need to consume several small meals throughout the day rather than three large ones. Nevertheless, as time passes, your residual stomach and small intestine will expand, allowing you to progressively eat larger, less frequent meals.
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a client who is receiving chemotherapy for breast cancer develops myelosuppression. which instruction would the nurse plan to include in the client's discharge teaching plan? select all that apply.
(1) Avoid people who have recently received attenuated vaccines. (2) Avoid activities that may cause bleeding. (3) Wash hands frequently. (5) Avoid crowded places, such as shopping malls. instruction would the nurse plan to include in the client's discharge teaching plan
Every year, everyone over the age of 18 should receive a seasonal flu vaccines. A Td (tetanus, diphtheria) or Tdap booster dose every ten years is recommended for adults who did not receive the Tdap vaccines as an adolescent in order to protect against whooping cough. When someone bleeds, blood is lost. For example, when you get a cut or wound, it can be external, or outside the body. Injuries to internal organs are an example of when something is internal, or inside the body. Depending on where the internal bleeding is occurring in the body, certain signs and symptoms may indicate concealed internal bleeding.
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nurse preparing to administer 40ml of 0.9% sodoim chloride to infuse over 20 mins. drop factor of the manual iv tubing is 15 gtt/ml. how many gtt/minnurse preparing to administer 40ml of 0.9% sodoim chloride to infuse over 20 mins. drop factor of the manual iv tubing is 15 gtt/ml. how many gtt/min
The answer is 30gtt/min to administer 40ml of 0.9% sodoim chloride to infuse over 20 mins.
What does gtt mean?
"gtt" is an abbreviation for "gutta", Latin meaning of which is "drop".
Since 1 ml consists of 15 gtt or drops, therefore 40 ml would consist 40x15=600 gtts or drops. These 600 drops need to be infused in 20 mins i.e. 600/20=30 ggts per min.
Therefore the answer is 30ggt/min.
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patient going through menopause. what do they experience in decrease in hormone secrection, which increase the risk of menopouse?osteoporosis pathophysiology
During the menopausal transition period, the drop in estrogen leads to more bone resorption than formation, resulting in osteoporosis.
The major health threat of osteoporosis is osteoporotic fractures.
What is osteoporosis?
A disorder when the bones become fragile and feeble.
Bone tissue is continuously absorbed by and replaced by the body. When someone has osteoporosis, the replacement of lost bone does not occur at the same rate. Osteoporosis is caused by a lifelong deficiency in calcium. Low calcium consumption increases the risk of fractures, early bone loss, and decreased bone density. eating problems. Bone deteriorates in both men and women who severely restrict their food intake and who are underweight. Osteoporosis makes bones so fragile that they can readily be broken. The term "silent sickness" refers to a condition in which a person may not notice any symptoms until a bone fracture, typically a bone in the hip, spine, or wrist. Living tissue is used to create bones.
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a patient asks what medication would be most effective in the treatment of seasonal hay fever (aka allergic rhinitis). the nurse will teach the patient about the use of which drug?
The nurse will teach the patient about the use of Fluticasone. The most effective agents used to treat allergic rhinitis are Glucocorticoids (fluticasone [Flonase]).
Rhinitis: when a reaction that causes runny nose, nasal congestion, sneezing, and itching occurs. Most rhinitis are caused due to an inflammation and are associated with symptoms in the ears, eyes, or throat.
Allergens are a usually harmless substance that can cause an allergic reaction. Hay fever or allergic rhinitis, is an allergic reaction to certain allergens, most commonly pollen. These allergens trigger the release of histamine in a person’s body, which leads to swelling, itching, and build up of fluid in the fragile linings of nasal passages, eyelids and sinuses.
Common symptoms of allergic rhinitis are:
SneezingItchy noseRunny noseCoughingFrequent headachesDry, itchy skinAllergic rhinitis can be treated in several ways. Medications and/or home remedies are effective as well.
Therefore, the nurse will teach the patient about the use of Fluticasone. The most effective agents used to treat allergic rhinitis are Glucocorticoids (fluticasone [Flonase]).
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a student nurse is preparing to administer a client's ordered large-volume enema. what action should the nurse perform during this skill?
Give the medication gradually over a 5- to 10-minute period.
How should the patient arrange themselves for an enema?Due to the anatomical features of the colon, the left lateral position is the most suitable position for administering an enema.Even though the tube's authorized length is roughly 5–6 cm, if resistance is felt, pull the tube back a little instead of attempting to force it.
What are the two key methods for obtaining a stool sample?How to Gather the Sample (s) Pass feces into a large, clean container—such as a milk jug with the top cut off—or onto newspaper put under the toilet seat, avoiding contact with urine.Stools that are loose should be passed into .
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a college student reports the onset of skin burning and hives when walking outdoors in cold weather. which suggestions will the nurse make to limit this reaction from occurring? select all that apply.
When swimming in chilly weather, wear a wetsuit, stay away from cold-temperature meals and drinks, and take an over-the-counter antihistamine before venturing outside.
What do you mean reaction?Resistant or resistance to a source, influence, or movement is a reactionary act, process, or occurrence. especially: a reaction to just a particular treatment, circumstance, or stimulus; leaning toward a past and typically antiquated political or social system or policies.
What is the meaning of reaction and example?The reaction is an activity that is taken as a result of anything. You can tell if your parents are upset if you tell them you would really like to move out by their response. A reaction frequently has a physical component.
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the nurse will notify the health care provider immediately if the client taking amoxicillin for otitis media is also taking what medication?
The nurse will inform the healthcare physician about these tetracycline for acne medications.
A client is not a customer.Instead of a specific sort of customer who pays for professional assistance from a company, anybody who makes use of a company's products or services is referred to as a user. Clients often buy solutions and guidance, whereas consumers frequently buy things.
Who would you utilize as a representative client?A customer is a person who uses a business's products or services and pays for them. Companies might be among the clients. Clients, as opposed to customers, typically have a connection or agreement with the vendor. If you purchase a cup of coffee from a café kiosk in a train station, for instance, you are a client.
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the nurse caring for clients admitted for infectious diseases understands what information about emerging global
The nurse learning about infection discovers that which factor is the best and most important.
When caring for a hospitalized client with influenza, which intervention would the nurse carry out to stop illness transmission?Droplet safety measures: When a patient carrying a virus, such influenza, is three to six feet away from the patient, droplet precautions are required. When someone coughs, sneezes, talks, or comes in close contact with the breathing of an infected person, air droplets from those actions can spread the infection.
What causes infections to spread most frequently among individuals who are institutionalized?Transmission over contact. In the healthcare environment, this is the most significant and frequent mode of transmission. Direct contact between an infected or colonized patient and a susceptible individual results in the spread of organisms.
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a group has asked the nurse to discuss how lifestyle factors affect heart health. which statements by members of the group would indicate that the teaching was effective? select all that apply.
Answer:
• "Gradually increasing my exercise levels will help enhance circulation through the heart."
• "As a borderline diabetic, if I lose weight and lessen my intake of simple carbohydrates, this should benefit my heart."
• "Walking is excellent exercise to strengthen my heart."
• "If I change my diet and lessen my intake of saturated fats and trans fatty acids, this may decrease my cholesterol levels."
Explanation:
assessment i suspect mr. luno is suffering from gastroesophageal reflux. other possibilities include gastritis, cholelithiasis, and pud. which is not part of the differential diagnosis?
The patient may have a stone in his pancreas. This is not a part of the differential diagnosis.
What is gastroesophageal reflux?
Gastroesophageal reflux disease (GERD) is a digestive disease wherein acid of the stomach or bile flows back repeatedly into the esophagus. It irritates the food pipe lining.
Gastroesophageal reflux disease or GERD is a chronic disease.
GERD is indicated when acid reflux and heartburn occur more than twice a week.
Symptoms include burning pain in chest that occurs usually after eating and often worsens after lying down.
If not treated, GERD can become a problem, because the tissue lining the esophagus gets damaged by the reflux of the stomach. This causes pain and inflammation.
Therefore, the patient may have a stone in his pancreas. This is not a part of the differential diagnosis.
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the nurse is assessing antibody levels for a client recovering from hepatitis b. which antibody does the nurse anticipate will be present at this time?
Hepatitis B is spread when blood, semen, or other body fluids from a person infected with the virus enters the body of someone who is not infected.
Is hepatitis B very serious?How serious is a chronic (long-term) hepatitis B? Chronic hepatitis B can develop into a serious disease resulting in long-term health problems, including liver damage, liver failure, liver cancer, and even death.
How does hepatitis B make you feel?Chronic hepatitis B infection may last a lifetime, possibly leading to serious illnesses such as cirrhosis and liver cancer. Some people with chronic hepatitis B may have no symptoms at all.
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the nurse is teaching a client about contact dermatitis. what type of contact dermatitis requires light exposure in addition to allergen contact?
The kind of contact dermatitis known as photoallergic contact dermatitis necessitates exposure to light in addition to allergen interaction.
What kind of contact dermatitis necessitates light exposure in addition to allergen contact?Sometimes people get photoallergic contact dermatitis. UV light may exacerbate allergic contact dermatitis, or patients may only experience an allergic reaction if a chemical is present on their skin and when their skin has had enough UV exposure (UV-A; 320-400 nm).
Which immunoglobulin subtype is most likely to be implicated in allergic reactions?Antibodies called immunoglobulin E (IgE) are created by the immune system. Your immune system produces antibodies called Immunoglobulin E when you have an allergy because it overreacts to an allergen.
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which initial statement would the nurse use when a client with a history of alcoholism returns to a previously attended residential alcohol treatment program?
A individual with this disease used to be called a "alcoholic."However, this is becoming more and more disfavored as a label.Professionals in the medical field now describe someone as having an addiction to alcohol (AUD).
What is the initial course of alcoholism treatment?Naltrexone – We advise naltrexone as the first line of treatment for the majority of newly diagnosed individuals with mild to severe alcohol use disorders.
How is alcoholism treated?Acamprosate: The U.S. Food and Drug Administration (FDA) has given this medication approval to treat alcoholism.It aids in restoring the equilibrium of brain chemicals that may have been altered by excessive drinking.Disulfiram: The FDA has given this medication approval to treat alcoholism.
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the nurse is teaching a client about rheumatic disease. what statement best helps to explain autoimmunity?
Nurse is teaching a client about rheumatic disease, statement that best helps to explain autoimmunity is: your symptoms are the result of your body attacking itself.
What is meant by autoimmunity?In autoimmunity, body mistakes its own tissue for foreign tissue and begins attacking it and symptoms develop as the body destroys tissue.
In immunology, system of immune responses of an organism against its own healthy cells, tissues and other normal body constituents is called autoimmunity. Disease resulting from this type of immune response is called autoimmune disease.
The antinuclear antibody test is one of the first tests that physicians do when they suspect a patient of an autoimmune disorder.
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a nurse is preparing to administer a sulfonamide to a client. the nurse is aware sulfonamides are commonly used to treat which types of infections? select all that apply.
Acute otitis media, urinary tract infection, and ulcerative colitis Sulfonamides are frequently used to treat acute otitis media, urinary tract infection, and ulcerative colitis.
What does "infection" mean to you?Infection is the spread and development of microorganisms such as bacteria, viruses, etc parasites that are not typically found in the body. Either a subclinical infection, which has no symptoms, or a clinically obvious illness, which does.
what is a body an infection?Bacteria can proliferate so swiftly that they crowd out host tissues and disrupt normal function in some cases. Tissues and cells can occasionally sustain lethal injury. There are occasions when they release toxins that can paralyze, harm cells' metabolic activities, or cause a strong immune response that is harmful in and of itself.
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the patient becomes rigid with feet flexed and arms curled to the chest. which abnormal reflex does this represent?
Decorticate posing is sometimes referred to as "mummy baby," "decorticate response," "decorticate rigidity," and "flexor posturing."
Patients that exhibit decorticate posturing have their legs stretched and feet turned inside, their hands clenched into fists, and their arms flexed or bent inward on their chest.
What symptoms decerebrate rigidity exhibits?
Decerebrate posture is characterised by rigid arms and legs, toes pointing down, and an arched back. opisthotonic stance, characterised by a rigid, arched back and a thrown-back head
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the nurse is admitting a 28-week neonate to the nicu. which assessment would indicate an intraventricular hemorrhage (ivh)?
For the nurse who is admitting a 28-week neonate to the nicu, Hypotonia is assessment would indicate an intraventricular hemorrhage.
Hypotonia is the medical word for a lack of muscle tone. Normal muscular contractions continue to occur even when the muscle is completely relaxed, giving it a springy feel and some resistance to passive movement. Muscular weakness is not the same as the two disorders, despite the fact that they can coexist.
Treatment can help with hypotonia, a lifelong condition. After being given a hypotonia diagnosis, a baby's muscle tone typically improves markedly over time. If a genetic disorder is the underlying cause of your child's hypotonia, the problem may get worse with time.
Hypotonia, or low muscle tone, is typically found at birth or in the first few years of life. The illness is additionally known as floppy muscle syndrome.
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a client with venous insufficiency reports swelling in the feet and ankles. what is the most appropriate intervention for the nurse to recommend?
A nurse inspecting a client's IV site notices redness and swelling at the site so she should discontinue the IV and relocate it to another site.
What would be the most appropriate nursing intervention for this situation?Untreated venous insufficiency outcomes no longer handiest in a sluggish loss of cosmoses however also in variety of complications such as persistent ache The nurse ought to examine the IV site for the presence of redness (inflammation), infection, or infiltration and discontinue and relocate the IV if any of those signs is noted.The most common site for IV tubing is that the forearm, the rear of the hand or the hi.nge joint fossa. The catheters are for peripheral use and may be placed wherever veins are straightforward to access and have sensible blood flow, though the simplest accessible website isn't forever the foremost appropriate.A client with venous insufficiency asks the nurse what they can do to decrease their risk of complications. what advice should the nurse provide to clients with venous insufficiency Stabilizing heart rate and blood pressure and easing anxiety.Continual venous insufficiency occurs while your leg veins do not permit blood to glide back up to your heart. commonly, the valves in your veins make certain that blood flows in the direction of your heart. but while these valves don't work well, blood can also waft backwards. this can motive blood to acquire (pool) for your legs.To learn more about venous insufficiency refer to:
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the nurse is admitting a 10-month-old infant who is being hospitalized for a respiratory infection. the nurse develops a plan of care for the infant and includes which most appropriate intervention?
The nurse develops a plan of care for the infant and includes : Providing a consistent routine with touching, rocking, and cuddling throughout hospitalization.
What are the plans of care for a patient with respiratory infection ?The next set of nurse assessments and actions for pneumonia work to maintain the patency of the airways, boost fluid intake, and instruct and support deep breathing and an efficient cough.
1. Evaluate the depth, rhythm, and rate of breathing as well as chest movement and auxiliary muscle use.
2. Evaluate the productivity and efficiency of coughing
3. Listen for crackles and wheezes as you auscultate the lung fields, looking for any locations where the airflow is diminished or nonexistent.
4. Pay attention to the sputum's color, viscosity, and smell. Provide updates.
Sputum changes could be a sign of an infection. Sputum that is discolored, persistent, or offensive may increase airway resistance and call for additional treatment.
5. Evaluate the patient's level of hydration.
Inadequate hydration and dehydration compromise airway clearance.
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an older client who requires frequent monitoring fell and fractured a hip. which nurse is at greatest risk for a malpractice judgment?
what medication for the treatment of opioid use disorder does not currently have evidence showing that it reduces transmission of hiv and hcv?
The use of naltrexone, methadone, and buprenorphine for opioid therapy.
What is the most effective method of addiction treatment?Behavioral therapy is arguably the most common type of addiction treatment that is frequently used in drug rehab. A general behavioral treatment strategy has led to the development of several effective techniques.
What stage of the recovery from addiction is first?Detoxification usually happens first in a therapeutic schedule. It involves stopping withdrawal symptoms and getting rid of the substance from the body. According to the Substance Abuse and Mental Health Services Administration, a treatment center will use medicine to lessen withdrawal symptoms in 80% of cases (SAMHSA).
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a nurse is caring for a client who's experiencing septic arthritis. this client has a history of immunosuppressive therapy and the immune system is currently depressed. which assignment is the most appropriate for the nurse caring for this client?
A nurse is caring for a client who's experiencing septic arthritis. this client has a history of immunosuppressive therapy and the immune system is currently depressed,Take the medication without food.
The major goal of a nursing joba is caring for a client who's experiencing septic arthritis. this client has a history of immunosuppressive therapy and the immune system is to help people attain, maintain, or regain optimal health and quality of life.They are crucial in teaching, analyzing situations, and providing assistance.In terms of patient care, education, and the range of their practice, nurses can be different from other healthcare professionals.Nurses operate in a variety of specializations and have varying degrees of prescription power.The majority of healthcare facilities are staffed by nurses, however evidence suggests that there is a global shortage of competent nurses.Nurses plan and deliver medical and nursing care to patients with acute or chronic physical or mental diseases in hospitals, at home, and in other settings.
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after neck surgery, the client asks the nurse why the head of the bed is up so high. which reason would the nurse give?
To lessen edema at the surgery site, the bed's head is raised quite high.
What posture would a client recovering from general anesthesia be placed in by the nurse?Legs can be stretched or slightly bent in the supine position, and arms can be raised or lowered. It offers general comfort to people recovering from surgery of any kind. most typical usage position The positions utilized for a general examination or physical assessment are supine or dorsal recumbent.
Which nurse evaluation is most important for a patient who may have myasthenia gravis?The most sensitive test for myasthenia gravis, single fiber electromyography (EMG), finds decreased nerve-to-muscle communication.
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'what do you need to consider in the assessment process for a client who is being treated for a dual diagnosis?''
A combined diagnostic and treatment strategy is required for dual diagnoses in both specialty alcohol and other substance services and mental health services.
Dual diagnosis describes the co-occurrence of problematic drug and alcohol use and one or more recognised mental health issues.
Services for alcohol, other drugs, and mental health ought to be able to cater to the needs of those who have a dual diagnosis.
This entails addressing a person's requirements in light of their presenting disease, utilising a risk framework, and being aware of the preferences of both the consumer and the caregiver/family. Staff members should receive suitable education and learning opportunities as well as training on dual diagnosis.
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question 15 of 20a client has a foot ulcer that has not shown signs of improvement over the past several months. which medical condition is most likely causing the delay in wound healing? select all that ap
Peripheral vascular disease is most likely causing the wound healing delay.
The emergent phase starts when a burn wound occurs through disease and lasts for approximately the first 24 hours, or until fluid resuscitation is finished. The focus of client care during the emergency period is to keep the client's airway open and manage their wound shock. The stratum basale, which is the epidermis' innermost layer, as well as the stratum spinosum, stratum granulosum, stratum lucidum, & stratum corneum are among the epidermis' layers (the most superficial portion of the epidermis. Keep a close eye on the patient's hourly fluid intake, urine output, blood pressure, and heart rate; any disease abnormalities should be communicated to the burn surgeon.
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a patient was placed in restraints for 2 hours in order to help manage impulsive, destructive, unsafe behavior. which statement made by the charge nurse during a meeting to discuss the incident shows an understanding of the need to use restraints only as a last resort?
The following statement made by the charge nurse shows an understanding of the need to use restraints only as a last resort:
“Let’s review what exactly happened that led to the use of restraints.”
What are Restraints?
Restraints are physical or chemical means of limiting or restricting a person’s movement or actions. Physical restraints are objects or materials used to immobilize or limit a person’s freedom of movement, while chemical restraints are drugs used to restrain a person’s behavior. Restraints are often used in healthcare settings, such as hospitals and nursing homes, to help keep patients safe from harm.
The charge nurse must not put the staff on the defensive in order to encourage an open, honest examination of the situation that will allow learning to take place. Reviewing the events before the patient's restraint in an unaccusatory manner demonstrates an awareness of proper restraint use. The other selections indicate that the nurse manager does not believe the matter was handled appropriately.
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true or false our patients have the right to know how we will use and disclose their protected health information
Patients have the right to obtain their medical records from hospitals, according to the law ministry.
What privacy rights do patients have?
The Privacy Rule, a Federal legislation, offers you control over your health information and establishes guidelines and restrictions on who may access and obtain it. Protected health information on people may be in any format, including oral, written, or electronic, and is subject to the Privacy Rule.
Patients have a right to anticipate that doctors and members of their staff will keep information about them private, unless disclosure is mandated by law or is in the public interest. Keeping patient information private is an important component of good medical practise.
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the nurse is caring for a newborn whose mother is suspected of having a drug addiction. which would the nurse do to most accurately confirm that the newborn may be at risk for withdrawal?
Shaking that is regular and involuntary is a symptom of the neurological illness known as essential tremor. The most common cause of handshaking is executing simple tasks.
What exactly do you mean by drug abuse?
Drug addiction, also known as substance use disorder, is a condition that impairs a person's capacity to control their use of drugs and medications, whether they are legal or not. Drugs include substances like nicotine, alcohol, and marijuana.
What negative repercussions might drug addiction have?
People who struggle with addiction frequently experience one or more coexisting medical disorders, such as lung or heart disease, stroke, cancer, or mental health issues. The harmful effects of long-term drug usage can be shown by imaging scans, chest X-rays, and blood testing..
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an older adult client comes to the health center reporting difficulty sleeping. which statement by the client would the nurse need to address?\
A senior citizen client who has trouble sleeping visits the clinic. a reduction in the amount of time spent in deep sleep.
What makes deep sleep less frequent?Your desire to sleep might be weakened by napping or oversleeping. You might be less able to fall asleep naturally, which would reduce the amount of deep sleep you get. medicine use and substance abuse. Deep sleep can be impacted by benzodiazepines, narcotic painkillers, and caffeine.
What occurs during the period of profound sleep?It is more difficult to rouse someone who is in stage 3 sleep, sometimes referred to as deep slumber. As the body relaxes even more during N3 sleep, muscle tone, pulse, and breathing rate all drop. The delta wave pattern in the brain's activity during this time can be recognized.
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