A nurse in a provider's office is collecting data from an older adult client. The client states that he is 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."
"Take a long walk before bedtime."
"Drink a glass of milk before bedtime."
The Correct Answer is D
A. Napping during the day may disrupt nighttime sleep patterns by reducing sleep drive.
B. Watching television in bed can stimulate the brain and interfere with sleep due to the blue light emitted from screens.
C. Engaging in vigorous physical activity close to bedtime may increase alertness and make it harder to fall asleep.
D. Drinking a glass of milk before bedtime can promote sleep due to the presence of tryptophan, which aids in the production of serotonin and melatonin, neurotransmitters involved in sleep
regulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased hunger: Dysphagia is not typically associated with increased hunger.
B. Garbled voice: Difficulty swallowing (dysphagia) can result in a garbled or hoarse voice due to food or liquid entering the airway.
C. Sneezing: While sneezing is not typically associated with dysphagia, it can be a response to irritants in the nasal passages.
D. Rapid chewing: Rapid chewing is not necessarily indicative of dysphagia and may occur for various reasons, such as habit or anxiety.
Correct Answer is C
Explanation
A. This technique is used for children, not adults. To straighten the ear canal for adults, the pinna should be pulled upwards and back.
B. Cleansing the outer ear with isopropyl alcohol is not typically necessary before administering otic medication and may cause irritation to the delicate skin of the ear canal.
C. Holding the dropper 1 cm away allows for better control and accuracy when directing the medication droplets into the ear canal. This helps ensure the medication reaches the intended area within the middle ear. Holding the dropper too close could accidentally touch the ear canal or eardrum, causing discomfort or even injury. Maintaining a slight distance helps prevent the dropper tip from contaminating the ear canal with skin flora from the client or the nurse's hand.
D. While some otic medications might recommend staying still for a short time after administration, 10 minutes is an excessive timeframe for most medications.
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