Author Question: The nurse is caring for a hospitalized patient who needs vital signs and assessments every 4 hours ... (Read 86 times)

skymedlock · **on:** Jul 11, 2018

The nurse is caring for a hospitalized patient who needs vital signs and assessments every 4 hours

The nurse last assessed the patient at midnight, and at 2 AM the nurse answers the call light and helps the patient to the bathroom. To promote good sleep, what action by the nurse is best?
a. Ask the patient if a sleeping medication is needed.
b. Assess the patient now and again at 6 AM.
c. Tell the patient you will be back in 2 hours.
d. Assess the patient at 4 AM while being very quiet.

Question 2

An older adult patient who is generally in good health starts experiencing numerous colds and now pneumoni

a. What factor from the nursing history most likely has placed the patient at in-creased risk for the development of these infections?
a. A beloved pet died 6 months ago.
b. The patient was diagnosed with osteoarth-ritis 5 years ago.
c. The patient worked as an oncology nurse before retiring.
d. The patient's spouse is immunosuppressed.

asdfasdf · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
The nurse can use judgment to assess the patient more often than ordered. In this case, assessing the patient 2 hours early and rescheduling the next assessment conforms to the prescribed maxi-mum time between assessments and allows the patient 4 hours of uninterrupted rest. The patient may or may not want a sleeping pill, but sleep without medication is best.

Answer to Question 2

A
Psychosocial factors may impact the immune status. These factors include chronic and acute stress, depression, bereavement, and social relationships. The other factors would not increase the patient's risk for infection.