Question

In: Nursing

You are a nurse in a general practice whose current patient is visiting the physician to...

You are a nurse in a general practice whose current patient is visiting the physician to report her inability to fall asleep or stay asleep five out of seven nights per week. She describes that her husband is an over-the-road trucker and is home about 10 days per month. They have four kids, three in high school, and she works full time as a stockbroker.

Outline the questions you would expect to ask the patient regarding her sleeplessness.
How could more specific information regarding the patient’s sleep–wake patterns be obtained?
What data would be helpful to record in a sleep diary?
Which key findings obtained during a physical assessment could validate the existence of a sleep disturbance?

Expert Solution

A How many hours you should sleep at night?

Do you have the habit of day time naps

Are you taking any beverages before sleep

What about excercise

How long has the problem started

Do you have any health issues

Is your job stressful

Are you worried about your family

Are you taking any medicine to induce sleep

Type of meals before sleep

B How long does it take to fall asleep

How often do you wake up at night. How long you take to back asleep

The time you go to bed and wake up

Do you wake up spontaneously or with alarm or any other disturbances

Are you taking any stimulants or alcohol before going to bed

Type of meal you are taking

C Data related to sleep hours, sleep and wake up time, day naps, food before sleep, activities before sleep, use of stimulants and medications, any stress, health and family issues, quality oc sleep

DThe patient ay have genetal tiredness, lack of concentration, irritability lack of energy, dark circle underneath the eyes, poor memory making errors, sleepiness during day time

Nightingale answered 6 months ago

There is general private practice physician more than 35years, and two nurse practitioners also working in...

There is general private practice physician more than 35years, and two nurse practitioners also working in the practice part time. Working today there are the two receptionists, one medical assistant, one NP, the diabetic educator, and a new case manager. The atmosphere is tense because the patients have been waiting. MAs at private physician office complain to Dr..... that Nurse Practitioner (ME) slow but they are not supportive. At the end of your very long busy day the MA catches...

In this Discussion you will identify three clinical practice problems in your current (or past) practice as a nurse that risk compromise to quality of care and patient safety.

In this Discussion you will identify three clinical practice problems in your current (or past) practice as a nurse that risk compromise to quality of care and patient safety. You will select one of these problems to clearly define the risk and ask a question using the PICO format. Asking the question and selecting the problem is the first step of the Impact Model that is discussed in the textbook. Evidence-based practice questions are asked and written in the PICO...

Question 1 The physician orders a medication that the patient is allergic to. The nurse fails...

Question 1 The physician orders a medication that the patient is allergic to. The nurse fails to check the patient's allergies and administers the medication causing an anaphylactic reaction. The physician alone is at fault.. False or True Question 2 When participating in a nurse licensure compact, the nurse: A) may practice using one license in any state or territory in the United States that recognizes the NCLEX as the source of licensure. B) determines residency based on the state...

The nurse receives an adult patient in the outpatient clinic. The physician requested a focused assessment....

The nurse receives an adult patient in the outpatient clinic. The physician requested a focused assessment. The patient ask the nurse "what is the difference between a focused and a comprehensive assessment?" The nurse explains that:

Mary is a patient with asthma whose physician has prescribed cortisone as a treatment. After 6...

Mary is a patient with asthma whose physician has prescribed cortisone as a treatment. After 6 months, she notices that her hair is thinning, her blood glucose is elevated and the cut on her arm won’t heal. What is the diagnosis? Why won’t her cuts heal? What can be done to alleviate her symptoms?

You are a urologic nurse whose patient has voiced concern over his kidneys losing their function...

You are a urologic nurse whose patient has voiced concern over his kidneys losing their function within the past few weeks. He has maintained a log of the past week, recording his urination and fluid intake. He has a history of diabetes mellitus and hypertension, which are treated with medication. In your patient interview, how would you define renal failure for your patient? Which diseases could be included as possible etiologies for renal failure? What data should be included in...

2. You are a urologic nurse whose patient has voiced concern over his kidneys losing their...

2. You are a urologic nurse whose patient has voiced concern over his kidneys losing their function within the past few weeks. He has maintained a log of the past week, recording his urination and fluid intake. He has a history of diabetes mellitus and hypertension, which are treated with medication. (Learning Objectives #3 & #4) a. In your patient interview, how would you define renal failure for your patient? b. Which diseases could be included as possible etiologies for...

Step One: Research the typical patient and provider (physician or advanced practice provider) workflow for an...

Step One: Research the typical patient and provider (physician or advanced practice provider) workflow for an ambulatory, in person, visit. Step Two: Research the typical patient and provider (physician or advanced practice provider) workflow for an E-Visit, online. Step Three: Create workflows to depict from both the patient and provider perspective the workflow for both an ambulatory visit and an E-Visit. Step Four: Discuss in a 2-3 page paper your findings including the commonalities between the two visit types and...

New medical treatments, by strict definition, are not the "current medical practice." Should a physician be...

New medical treatments, by strict definition, are not the "current medical practice." Should a physician be immune from liability for harm suffered from a patient who is among the first to be treated in a new and innovative manner in which the potential risks have not been discovered? Discuss this and then report on a new and possibly innovative medical treatment (i.e., medication or medical procedure, diagnostic tests, etc.) where there exist uncharted waters about the possible outcome.

The nurse working on a cardiac care unit is caring for a patient whose stroke volume...

The nurse working on a cardiac care unit is caring for a patient whose stroke volume has increased. The nurse is aware that afterload influences a patient's stroke volume. The nurse recognizes that afterload is increased when which is present? a. sepsis b. venous congestion c. arterial vasodilation d. hypertension