A client tells the nurse about jogging every day with the hope of losing weight and sleeping better. The client states that it takes hours to fall asleep at night and is experiencing fatigue and sleepiness throughout the day. Which action should the nurse implement?
Advise the client that lifestyle changes often takes several weeks to be effective.
Encourage the client to exercise every day to eliminate bedtime wakefulness.
Determine the amount of weight the client has lost since increasing activity.
Ask the client for a description of the exercise schedule that is being followed.
The Correct Answer is D
In this scenario, the client is experiencing difficulty falling asleep at night, fatigue, and daytime sleepiness. These symptoms may indicate that the client's exercise routine is impacting their sleep patterns. By asking the client for a description of their exercise schedule, the nurse can gather important information about the timing, intensity, and duration of the client's exercise regimen.
Exercise has numerous benefits for sleep and overall health, but the timing and intensity of exercise can affect sleep patterns differently for individuals. Vigorous exercise close to bedtime may increase alertness and make it harder for some people to fall asleep.
Therefore, understanding the client's exercise routine will help the nurse assess if the timing or intensity of the exercise is contributing to the sleep issues.
Based on the information gathered, the nurse can provide appropriate guidance. This may include adjusting the timing of exercise to earlier in the day, reducing the intensity of exercise closer to bedtime, or considering other factors that may be contributing to the sleep difficulties, such as caffeine intake, stress, or environmental factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect- Clarify reality with the client about delusional thoughts: Attempting to correct the client's delusional thoughts might cause frustration and agitation. Clients with Alzheimer's disease may have difficulty comprehending and retaining reality-based information.
B) Incorrect- Reduce the client's interaction with others during the day: Social interaction is important for clients with Alzheimer's disease to maintain engagement and prevent feelings of isolation. Reducing interaction could worsen their emotional well-being.
C) Correct- Clients with Alzheimer's disease often experience cognitive impairments and may have delusional thoughts or confusion, such as believing deceased loved ones are still alive. Nonpharmacological interventions are crucial to provide comfort and manage challenging behaviors. Distraction techniques involve redirecting the client's attention away from the delusion and onto a different, engaging activity. This can help decrease distress and anxiety related to their delusional thoughts. Therapeutic communication skills, such as validating the client's feelings and emotions, can also be beneficial. Simply telling the client that their mother is deceased may cause distress and confusion. Instead, providing comfort, empathizing with their emotions, and redirecting their focus can be more effective in managing the situation.
D) Incorrect- Awaken the client for reality checks every 4 hours at night: Disrupting the client's sleep schedule could lead to increased confusion and restlessness. It's important to provide a calm and consistent sleep routine for individuals with Alzheimer's disease.
Correct Answer is C
Explanation
The correct answer is choice c. Inform the client that gradual tapering must be used to discontinue the medication.
Choice A rationale:
While discussing medication side effects with the healthcare provider is important, it does not address the immediate concern of discontinuing the medication safely. The nurse should provide guidance on the proper discontinuation process.
Choice B rationale:
Telling the client that side effects will most likely dissipate over time may not be accurate for all individuals and does not address the client’s desire to stop the medication.
Choice C rationale:
Informing the client that gradual tapering must be used to discontinue the medication is crucial. Abruptly stopping antidepressants can lead to withdrawal symptoms and a potential relapse of depression.
Choice D rationale:
Reminding the client that feeling better is the therapeutic effect of the medication is true, but it does not address the client’s concern about discontinuing the medication safely.
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