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."

"Sleep longer hours on the weekend."

"Keep the television volume low while you are trying to fall asleep."

"Establish a daily exercise routine."

Answer and Explanation

The Correct Answer is D

A.   Remaining in bed until falling asleep can worsen insomnia and create negative associations with the bed.
B.   While maintaining a consistent sleep schedule is important, sleeping longer on the weekends can disrupt the circadian rhythm.
C.   Keeping the television volume low can help with sleep, but it might not directly address the underlying issue of trouble falling asleep.
D.   Correct. Regular exercise, especially during the day, can help regulate sleep patterns and improve the ability to fall asleep at night.

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Correct Answer is ["A","C","D"]

Explanation

A. The nurse should provide the client with written information about advance directives to ensure that the client fully understands their options and can make informed decisions about their healthcare wishes.
B. Not a correct option because it inaccurately states that an advance directive discontinues further care. An advance directive guides the type of care a patient wants or does not want, but it does not automatically discontinue all care.
C. The nurse should communicate the client's advance directives status to other members of the healthcare team through documentation and shift reports. The nurse should also educate the client that an advance directive is a legal document that guides healthcare decisions and must be respected by care providers.
D. The nurse can assist the client in initiating a power of attorney for health care document, which designates a trusted person to make healthcare decisions on behalf of the client if they become unable to make decisions for themselves.

A. Restrain the child's upper extremities. B. Place a padded tongue blade in the child's mouth. C. Turn the child onto their back. D. Place a pillow under the child's head.

Correct Answer is D

Explanation

A. Restraining the child's upper extremities is not recommended during a seizure as it can cause injury.
B. Placing a padded tongue blade in the mouth can lead to injury and is not recommended during a seizure.
C. Turning the child onto their back is appropriate to ensure a clear airway, but it should be done gently without forcing movements.
D. Correct. Placing a pillow under the child's head helps protect their head from injury during the seizure.

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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

Correct Answer is ["A","C","D"]

Explanation

A nurse enters the room of a school-age child and finds them on the floor experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is contributing to an in-service for newly licensed nurses about situations requiring an Incident report. Which of the following examples should the nurse include?

A nurse is helping to place a client into the prone position. The nurse should use a small pillow to relieve pressure from which of the following areas of the client's body?

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