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Question 1 (1 point)

Ask by Hardy Stephens. in the United States
Mar 23,2025

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To diagnose Shyla with insomnia, she must experience difficulty sleeping at least three nights each week for one month.

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To diagnose Shyla with insomnia, she must experience the symptoms consistently. The critical point is the first criterion: experiencing these symptoms at least three nights a week for one month. This establishes a pattern recognizable by healthcare providers as insomnia rather than a temporary sleep issue. It’s like tracking the weather—if it rains more often than not over a month, you can safely call it a rainy season!
Moreover, managing insomnia often includes identifying triggers and finding effective coping strategies. Common mistakes include relying too heavily on sleep medications without behavioral changes or not maintaining a consistent sleep schedule. Building a relaxing bedtime routine, limiting screen time, and creating a comfortable sleeping environment can significantly improve sleep quality, turning sleepless nights into sweet dreams!

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Maintaining a dry environment Client scenario: A 61-year-old client with a history of COPD presents to the ED with a 2-day history of increased SOB, cough, and increased sputum production. At baseline, the client has a mild cough with scant sputum production. Denies fever, hemoptysis, and night sweats. In the ED, the client is unable to walk due to SOB, speaks in 1-word sentences, and is utilizing accessory muscles for breathing. PMH: - COPD ×10 years - 40-year pack history - Hip fracture - COPD exacerbations 2x/y yar Meds: - Albuterol QID PRN - Theophylline BID - Ipratropium inhaler - HCTZ daily Focused Exam: Accessory muscle use noted, barrel-chested, bilaterally decreased breath sounds w/ expiratory wheezing, cyanosis to nail beds (without clubbing noted). Skin is cool and clammy, diaphoretic. VS: T 37.0C, HR 133, BP 165/95, RR 34, SaO2 82% on RA ABG: pH7.12,PaCO254mmHg,PaO260mmHg,HCO330mEq/L PFT:FEV1 35\% expected, VC 50\% expected 14 Multiple Choice 1 point Given the client's history and presentation, which of the following conditions do you suspect? COPD exacerbation Pulmonary embolus Asthma attack Pneumothorax 15 Multiple Choice 1 point Select the answer choice that should go in the blanks: In COPD, destruction of the alveoli causes loss preventing complete membrane; inhalation surfactant; exhalation exhalation; inhalation 16 Multiple Answer 1 point Which disorders make up chronic obstructive pulmonary disorder (COPD)? Select all that apply. Emphysema Chronic bronchitis Asthma
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