A nurse is caring for a client who reports that she has insomnia.
Which of the following interventions is appropriate for the nurse to recommend?
Eat a light carbohydrate snack before bedtime.
Take a 30-min nap daily.
Drink a cup of hot cocoa before bedtime.
Exercise 1 hr before bedtime.
The Correct Answer is A
Eating a light carbohydrate snack before bedtime can help promote sleep by increasing the level of tryptophan in the brain.
Choice B is wrong because taking a 30-min nap daily can disrupt nighttime sleep and worsen insomnia.
Choice C is wrong because drinking a cup of hot cocoa before bedtime can interfere with sleep due to its caffeine content.
Choice D is wrong because exercising 1 hr before bedtime can increase alertness and make it more difficult to fall asleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
“Contract your pelvic muscle when performing the exercises.” Kegel exercises strengthen the pelvic floor muscles, which support the uterus, bladder, small intestine, and rectum.
To do Kegels correctly, you need to contract and relax your pelvic floor muscles.
Choice A is wrong because you should avoid holding your breath while doing Kegel exercises.
Instead, breathe freely during the exercises.
Choice C is wrong because you should focus on tightening only your pelvic floor muscles and be careful not to flex the muscles in your buttocks.
Choice D is wrong because it takes time to strengthen pelvic floor muscles.
You should aim for at least three sets of 10 to 15 repetitions a day and give it 3 to 6 weeks before expecting improvement12.
Correct Answer is C
Explanation
The first two actions the nurse should take are to review the client’s medical history and assess for symptoms.
This can help determine if further testing or treatment is necessary.

Choice A is wrong because the test results are negative, so initiating treatment for TB is not necessary.
Choice B is wrong because repeating the tests may not provide any additional information.
Choice D is wrong because educating the client about TB prevention and management may not be necessary if the client does not have TB.
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