Answer to Question 1
A
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A To assess the patient's sleeping problem, the nurse should inquire about predisposing factors, such as by asking, What do you do just before going to bed? Assessment is aimed at understanding the characteristics of any sleep problem and the patient's usual sleep habits so that ways for promoting sleep can be incorporated into nursing care.
B Older adults may prefer to sleep in softly lit rooms.
C Napping more during the daytime is often not the best solution. The nurse should first assess the patient's sleeping problem.
D The patient does not always have to eat something before going to bed. The nurse should first assess the patient's current sleep habits.
Answer to Question 2
D
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A The systolic pressure, not the diastolic pressure, is 10 to 40 mm Hg higher than in the brachial artery.
B Expecting the diastolic pressure to be 20 to 30 mm Hg lower than in the brachial artery is incorrect.
C Expecting the diastolic pressure to be 50 mm Hg higher than in the brachial artery is incorrect.
D When measuring the BP in the legs, systolic pressure is usually higher by 10 to 40 mm Hg than that in the brachial artery, but the diastolic pressure is the same.
The nurse can make observations about the patient's general appearance while talking with the p
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