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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Threatening health consequences may escalate resistance in diabetes care. It dismisses feelings, reducing trust, and isn’t therapeutic for addressing refusal effectively.

Choice B reason: Guilt via family impact pressures the client, not exploring reasons. This approach hinders open dialogue, critical for diabetes self-management acceptance.

Choice C reason: Inviting thoughts fosters therapeutic communication, exploring barriers to insulin use. It respects autonomy, building trust essential for diabetes education and compliance.

Choice D reason: "Why" questions can feel confrontational, shutting down discussion. Open-ended inquiry better uncovers motivations in diabetes refusal, avoiding defensiveness.

A. The client's extremity should be elevated after the cast is applied. B. The client should use a hair dryer on a warm setting to relieve itching inside the cast. C. The client should keep the cast covered until it is dry. D. The client can shower with the cast after 24 hr.

Correct Answer is A

Explanation

Choice A reason: Elevation reduces swelling post-cast application, enhancing circulation. It’s a key step to prevent edema and discomfort in the right arm.

Choice B reason: Hair dryers risk burns or softening plaster; scratching tools are safer. This is incorrect and dangerous advice for cast care management.

Choice C reason: Covering delays drying, trapping moisture in plaster. It needs air exposure to harden, so this contradicts proper cast maintenance.

Choice D reason: Showering after 24 hr wets plaster, weakening it. Casts require protection from water, making this an inaccurate care instruction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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