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

Explanation

A. Correct. Memory loss that disrupts ADLs is a characteristic feature of dementia.
B. Acute onset of confusion might be related to delirium rather than dementia.
C. Catatonia is not a typical finding in dementia.
D. Illusions are not commonly associated with dementia.

A. Elevate the arm. B. Document the infiltration. C. Stop the infusion. D. Apply a warm compress.

Correct Answer is C

Explanation

A. Incorrect. Elevating the arm might help reduce edema, but the priority is to stop the infusion to prevent further infiltration.
B. Incorrect. While documenting the infiltration is important, immediate action should be taken to stop the infusion to prevent further complications.
C. Correct. The nurse's first action should be to stop the infusion to prevent the continuation of fluid infiltration and potential complications.
D. Incorrect. Applying a warm compress might help with comfort, but stopping the infusion is the priority to prevent further infiltration.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is C

Explanation

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