A 6-year-old boy is admitted to the hospital for a surgical procedure associated with a hospital stay.When the nurse asks his mother about the boy's sleep patterns,she says,"Sometimes he will get out of bed,walk into the kitchen,and get the cereal out of the cabinet.Then he just turns around and goes back to bed." The nurse explains that he is sleepwalking.The best nursing diagnosis for Tad would be:

A) Risk for Insomnia related to sleepwalking.
B) Risk for Fatigue related to sleepwalking.
C) Disturbed Sleep Pattern related to dyssomnia.
D) Risk for Injury related to sleepwalking.

An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. Of what are these manifestations most suggestive?

A) Air emboli
B) Allergic reaction
C) Hemolytic reaction
D) Circulatory overload

What statements best describe the association between smoking and pulmonary infections? Select all that apply.

A) Smoking interferes with respiratory functions, including the ability to move the chest, cough, and sneeze.
B) Smoking increases alveolar elasticity, leading to overproduction of mucus that leads to pulmonary infections.
C) Smoking decreases movement of the cilia in the lower airways, creating a favorable environment for bacterial growth.
D) Nonsmokers chronically exposed to secondhand smoke have minimal risk for pulmonary infections.

The nurse applies bilateral wrist restraints to a client threatening to leave the hospital against medical advice.What is the nurse's action considered?

A) Assault and battery
B) Felony
C) False imprisonment
D) Quasi-intentional tort

The general survey begins with a review of the patient's primary health problems and an evaluation of the patient's vital signs,height and weight,general behavior,and appearance.It also provides information about the patient's illness,hygiene,skin condition,body image,and emotional state.Which of the following cannot be delegated to nursing assistive personnel?

A) Reporting subjective signs and symptoms
B) Measuring the patient's height and weight
C) Monitoring I&O
D) Obtaining initial vital signs

A patient is using laxatives three times daily to lose weight. After stopping laxative use, the patient has difficulty with constipation and wonders if laxatives should be taken again. Which information will the nurse share with the patient?

A) Long-term laxative use causes the bowel to become less responsive to stimuli, and constipation may occur.
B) Laxatives can cause trauma to the intestinal lining and scarring may result, leading to decreased peristalsis.
C) Long-term use of emollient laxatives is effective for treatment of chronic constipation and may be useful in certain situations.
D) Laxatives cause the body to become malnourished, so when the patient begins eating again, the body absorbs all of the food, and no waste products are produced.

The nurse in the community health clinic has noticed that many Latin Canadian and Aboriginal clients arrive as much as one or two hours late for their appointments.What cultural interpretation would explain this pattern?

A) Rejection of the Protestant work ethic
B) Present orientation to time
C) Low value on health maintenance
D) Resistance to community health care