A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?
"Remain in bed until you fall asleep."
"Keep the television volume low while you are trying to fall asleep."
"Sleep longer hours on the weekend."
"Establish a daily exercise routine."
The Correct Answer is D
Choice A reason: Staying in bed awake reinforces insomnia by associating bed with wakefulness. Sleep hygiene advises leaving bed if sleep doesn’t come soon.
Choice B reason: Low TV volume still stimulates the brain, delaying sleep onset. Screen light disrupts melatonin, worsening insomnia rather than aiding rest.
Choice C reason: Longer weekend sleep disrupts circadian rhythm, confusing sleep cycles. Consistent sleep timing is key, so this hinders nightly sleep improvement.
Choice D reason: Daily exercise boosts sleep quality by reducing stress and regulating circadian rhythm. It’s a proven insomnia remedy, promoting faster sleep onset naturally.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Shoulder harnesses at shoulder level secure the infant, distributing crash forces evenly. Scientifically, this aligns with safety standards, preventing spinal injury by stabilizing the torso, a critical car seat feature per biomechanical crash studies for optimal protection.
Choice B reason: A cushion under the head risks airway obstruction or spinal misalignment in crashes. Scientifically, added padding alters manufacturer design, increasing injury risk, as car seats are engineered for direct fit without extras per safety regulations.
Choice C reason: A 90-degree angle is upright, risking airway collapse in newborns with weak necks. Scientifically, a 30-45-degree recline supports breathing and spinal alignment, making this unsafe per pediatric and crash safety evidence.
Choice D reason: Airbags in the front seat can fatally injure infants in rear-facing seats via rapid inflation. Scientifically, back-seat placement avoids this, as airbag force exceeds infant tolerance, contradicting safety mandates for car seat positioning.
Correct Answer is C
Explanation
Choice A reason: Weight gain, not loss, follows nicotine cessation due to appetite increase. Withdrawal heightens metabolism briefly, but loss isn’t a typical manifestation.
Choice B reason: Diaphoresis occurs during acute withdrawal but isn’t primary. Nicotine’s absence disrupts sleep more consistently, making this a less dominant symptom.
Choice C reason: Insomnia is a hallmark of nicotine withdrawal, from CNS stimulation loss. It disrupts sleep regulation, a common, persistent issue in quitting smokers.
Choice D reason: Diarrhea can occur but is less frequent than insomnia in withdrawal. Nicotine’s absence more reliably affects sleep over GI motility initially.
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