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 B

Explanation

A. Incorrect. Mentioning the completion of an incident report is appropriate but not sufficient in explaining the incident.
B. Correct. Documenting the client's own statement about the fall is essential for accuracy and clarity in the medical record.
C. Incorrect. While footwear might contribute to falls, it's important to include the client's own account of the fall in the documentation.
D. Incorrect. While noting the absence of visible injuries is relevant, it's more important to document the circumstances leading to the fall.

A. "My baby will receive three doses of the meningococcal immunization before kindergarten." B. "My baby will receive the rotavirus immunization orally." C. "I should not feed my baby anything for 2 hours before an immunization." D. "I should expect my baby to have a high fever for 24 hours after an immunization."

Correct Answer is B

Explanation

A. Meningococcal immunization typically includes different schedules and doses; stating three doses before kindergarten is not accurate.
B. Correct. The rotavirus vaccine is administered orally to infants.
C. Feeding restrictions before immunizations are not routinely required for infants.
D. While some mild fever after immunizations is possible, the statement suggests an expectation of a high fever for 24 hours, which is not accurate.

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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 completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with the guardian of a 2-month-old infant about immunizations. Which of the following statements by the guardian indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is collecting data from a client about a range of motion for various joints. Which of the following images should the nurse identify as an example of a ball an socket joint?

A nurse is caring for a client who has schizophrenia and is taking an antipsychotic medication. Which of the following screening tools should the nurse use to identify tardive dyskinesia?

A nurse is reviewing the medical records of five clients. For which of the following events should the nurse write an incident report? (Select all that apply.)

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?

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A nurse is collecting data from a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect?

A nurse is participating in an interprofessional team meeting for a client. Which of the following information about the client should the nurse include?