Author Question: The nurse is admitting a patient to the general medical-surgical unit. What should the nurse assess ... (Read 29 times)

bio_gurl · **on:** Jul 23, 2018

The nurse is admitting a patient to the general medical-surgical unit. What should the nurse assess as part of a routine sleep assessment? (Select all that apply.)

a. Usual sleeping and waking times
b. Bedtime routines
c. Sleeping environment preferences
d. Medications used for sleep
e. Any current life events

Question 2

The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?

a. Hemoglobin A1C 16
b. Random blood sugar (RBS) 112 mg/dL
c. Lactate dehydrogenase (LDH) 55 units/L
d. Erythrocyte sedimentation rate (ESR) 14 mm/hr

joewallace · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B, C, D, E
A sleep assessment should be completed when a patient is admitted to a health facility. The nurse assesses the patient's usual sleeping and waking times, medications, illnesses, bedtime routines, and sleeping environment preferences and incorporates the information into the plan of care when possible. The nurse should also assess current life events and emotional status.

Answer to Question 2

ANS: A
Hemoglobin A1C levels indicate the patient's average blood sugar levels for the past few weeks. A normal value is 3 to 6; in well-controlled diabetics, the value is 7 to 11. A level of 16 indicates that the patient's blood sugar has been elevated for the last few weeks and he has not been compliant with the prescribed treatment plan.