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A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

Administer prescribed diuretics in the evening.

Use overhead lighting when checking equipment.

Keep the door to the client's room closed.

Provide the client with snug-fitting nightwear.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Administering diuretics in the evening may increase the client's need to urinate and disrupt sleep.

B. Using overhead lighting when checking equipment may disrupt the client's sleep and should be avoided.

C. Keeping the door to the client's room closed can reduce noise and disturbances from the hallway, promoting a more restful sleep environment.

D. Providing snug-fitting nightwear may be uncomfortable and restrict movement during sleep.

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

Explanation

A. Despite the client reporting thirst and frequent urination, the client's urine specific gravity of 1.010 is within the normal range (1.005 to 1.030). The above symptoms could be associated with the hyperglycemia.

B. There is no indication of a pneumothorax in the nurse's notes or diagnostic results.

C. The casual glucose level of 300 mg/dL is significantly above the normal range (less than 200 mg/dL), indicating hyperglycemia.

D. The client’s WBC level is elevated, 11,500/mm3 (5,000 to 10,000/mm3) thus indicating an infection.

A. Open the outside cover of the sterile kit and remove the dust cover B. Grasp the outermost flap of the sterile kit while opening away from the body. C. Prepare a dry work surface above the waist level D. Open the innermost lower flap of the sterile kit while standing away from the sterile field E. Open each side flap of the sterile kit individually while pulling to the side

Correct Answer is C,A,B,D,E

Explanation

A. Opening the outside cover of the sterile kit and removing the dust cover exposes the sterile supplies within the kit.
B. Grasping the outermost flap of the sterile kit while opening away from the body helps maintain the sterility of the contents within the kit.

C. Preparing a dry work surface above the waist level ensures that the sterile field is established at a proper height and that the nurse's hands are at the appropriate level for working within the sterile field.
D. Opening the innermost lower flap of the sterile kit while standing away from the sterile field allows the nurse to access the sterile supplies without contaminating the sterile field.
E. Opening each side flap of the sterile kit individually while pulling to the side further establishes the sterile field and provides access to the sterile supplies.

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A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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