A nurse is caring for a client who is postoperative and reports having difficulty sleeping. Which of the following interventions should the nurse recommend?
Offer the client hot chocolate or tea prior to rest periods.
Encourage the client to ambulate in the hallway before resting.
Cluster routine care activities to allow rest periods without interruptions.
Encourage the client to watch television to relax.
The Correct Answer is C
A. Offer the client hot chocolate or tea prior to rest periods. While warm beverages can be comforting and help some people relax, hot chocolate and many teas contain caffeine, which can interfere with sleep. Even decaffeinated options might not be the best choice close to bedtime due to the fluid content, which could increase the need for nighttime urination, disrupting sleep.
B. Encourage the client to ambulate in the hallway before resting. Light physical activity, such as ambulating, can help promote relaxation and reduce muscle tension, which might aid sleep. However, it is essential to consider the client's postoperative status and ensure that ambulation is safe and appropriate for their condition. Overexertion close to bedtime might have the opposite effect and increase alertness.
C. Cluster routine care activities to allow rest periods without interruptions. This is a highly recommended intervention. By clustering care activities, the nurse can minimize disturbances during rest periods, allowing the client to have longer, uninterrupted sleep. This is crucial in a hospital setting where frequent interruptions can significantly impact the quality of sleep.
D. Encourage the client to watch television to relax. While watching television can be relaxing for some, it can also be stimulating and potentially interfere with sleep due to the light and noise. Blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. Therefore, this is generally not recommended as a sleep aid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. "I should drink enough fluids throughout the day to have pale yellow urine." Adequate hydration helps flush bacteria out of the urinary tract and dilute urine, which can reduce the risk of infection. Pale yellow urine typically indicates proper hydration.
B. "I should void every 2 to 4 hours during the day." Frequent voiding helps to flush out any bacteria that may be present in the bladder, reducing the risk of infection.
C. "I should use mild soap when cleaning the perineal area." Mild soap is less likely to irritate the urethra and surrounding tissues, which can help prevent UTIs. Harsh soaps can disrupt the natural flora and cause irritation.
D. "I should void immediately after intercourse." Voiding after intercourse helps to flush out any bacteria that may have entered the urethra during sexual activity, reducing the risk of infection.
E. "I should apply a thin layer of talcum powder after each void." Talcum powder is not recommended as it can irritate the urethra and perineal area, and particles can enter the urinary tract, potentially increasing the risk of infection.
Correct Answer is C
Explanation
A. "Once the form has been signed, you cannot change your mind." This is incorrect as the client has the right to change their mind and withdraw consent at any time.
B. "I will explain the complications of the procedure." The nurse’s role in informed consent is to witness the signing and ensure the client understands, not to explain the procedure's details, which is the provider’s responsibility.
C. "I will obtain your signature which states that you understand the procedure." This is correct. The nurse’s role is to witness the client’s signature on the informed consent form, indicating that the client has understood the information provided by the provider.
D. "I can explain alternative treatments to you."Explaining alternative treatments is the responsibility of the provider, not the nurse.
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