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 A

Explanation

Choice A reason: Dark red urine signals active bleeding post-TURP, beyond expected light pink. It may indicate hemorrhage, requiring urgent provider intervention to prevent complications.

Choice B reason: 300 mL over 8 hr is adequate output post-TURP, not alarming. It aligns with expected bladder irrigation effects, needing no immediate report.

Choice C reason: Small clots are normal post-TURP as the prostate heals. Only large or persistent clots warrant concern, so this is an expected finding.

Choice D reason: Frequent urination urge is common post-TURP from bladder irritation. It’s not critical unless paired with obstruction, so it doesn’t need reporting.

A. Recurring urinary tract infections B. A recent move to a new city C. Report of feeling depressed D. Lack of nutritional knowledge

Correct Answer is B

Explanation

Choice A reason: Recurring UTIs are physical health issues, not external stressors. They’re internal consequences, not environmental triggers, though stress may exacerbate them indirectly.

Choice B reason: A recent move is an external stressor, disrupting routine and social ties. It’s an environmental change, directly causing stress per psychological models.

Choice C reason: Feeling depressed is an internal emotional response, not an external stressor. It’s a symptom, not the originating environmental or situational cause.

Choice D reason: Nutritional knowledge lack is internal, a cognitive deficit. It’s not an external event or pressure, unlike a move’s tangible stress impact.

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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 collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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