A nurse in a provider's office is collecting data from an adult client. The client states that they are having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

"Take a 1-hour nap each day."

"Watch television in bed."

"Drink a glass of milk before bedtime."

"Take a long walk before bedtime."

Answer and Explanation

The Correct Answer is C

A. "Take a 1-hour nap each day.": Napping during the day, especially for an hour, can interfere with the ability to fall asleep and stay asleep at night.

B. "Watch television in bed.": The bed should be used only for sleep and intimacy. Watching TV provides "blue light" and mental stimulation that disrupts the circadian rhythm.

C. "Drink a glass of milk before bedtime.": Milk contains L-tryptophan, an amino acid that serves as a precursor to serotonin and melatonin, which helps induce sleep.

D. "Take a long walk before bedtime.": Vigorous exercise shortly before bed increases core body temperature and heart rate, which can make falling asleep more difficult.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

Correct answer: The client is at risk for Aspiration as evidenced by the client's Dysphagia.

i. Aspiration: The client is exhibiting classic signs of dysphagia (difficulty swallowing), specifically "feeling food stuck in their mouth" and a "hoarse vocal quality." When a client cannot swallow effectively, food or liquid can enter the airway instead of the esophagus, leading to aspiration pneumonia.

ii. Dysphagia: This is the clinical term for the symptoms described in the Nurses' Notes (hoarseness and food pocketing). While the client does have a slightly elevated blood pressure and heart rate, these are secondary to the primary safety risk of an impaired airway/swallow reflex.

A. Clinical breast examination B. Fasting blood glucose C. Colonoscopy D. Testicular examination

Correct Answer is C

Explanation

A. Clinical breast examination: This usually begins in a woman's 20s or 30s as part of routine wellness exams.

B. Fasting blood glucose: Screening for Diabetes/Prediabetes is currently recommended to begin at age 35 for most adults.

C. Colonoscopy: While some guidelines have recently moved the start age to 45 for average-risk individuals, age 50 has long been the traditional benchmark for beginning colorectal cancer screenings via colonoscopy.

D. Testicular examination: This is a screening that should be performed regularly by males starting in adolescence/young adulthood.

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A nurse in a provider's office is collecting data from an adult client. The client states that they are having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

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Naxlex Comprehensive Predictor Exams

A nurse in a rehabilitation facility is assisting in the care of a client who was admitted the previous day. Complete the following sentence by using the list of options. The client is at risk for _____ as evidenced by the client's _____

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

A nurse is reinforcing teaching with a group of adult clients about health promotion and maintenance. The nurse should remind the clients that which of the following screenings should be performed beginning at age 50?

Correct Answer is C

Explanation

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A nurse is assisting in the care of a client who just started receiving a blood transfusion 5 min ago. Which of the following findings should be reported first to the provider?

A nurse is caring for a client who has chronic constipation. Which of the following actions should the nurse recommend to the client?

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