Author Question: The nurse is caring for a patient with a goal/outcome statement of Patient will sleep for 5 hours ... (Read 109 times)

newbem · **on:** Jun 25, 2018

The nurse is caring for a patient with a goal/outcome statement of Patient will sleep for 5 hours uninterrupted each night. Which nursing intervention should the nurse include?

a. Medicate with sedative each night.
b. Offer warm fluids frequently.
c. Arrange for a large meal at supper.
d. Discourage daytime napping.

Question 2

The nurse is caring for a first-day postoperative thoracotomy patient. The nurse assesses that the level of drainage has not increased over the last 3 hours. After assessing the patient's respiratory status, what should the nurse do next?

a. Raise the system above the patient's heart.
b. Check the tubing for kinks.
c. Reposition the patient.
d. Notify the physician.

Leostella20 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

D
Discouraging daytime napping increases the probability of sleep. Giving medication is a colla-borative intervention as it requires an order. Large meal and large fluid intakes may interrupt sleep.

Answer to Question 2

B
After assessing the patient's respiratory status, the nurse should ensure that the tubing is not kinked or obstructed by the weight of the patient. The nurse should then check the apparatus; all connections should be taped, be intact, and remain airtight. The system must be below the level of the patient's heart. The nurse should also double-check the physician's order for patient posi-tion, and reposition as needed. Finally, the nurse should report the findings to the RN or physi-cian.