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. A room with negative airflow helps prevent the spread of airborne pathogens, which is helpful for immunocompromised clients like those with HIV, but it doesn't directly increase the risk of infection.
B. Correct. Neutropenic clients have reduced immune responses, and consume fresh fruit (which might carry bacteria. can increase the risk of infection.
C. Artificial flowers might be removed due to infection control concerns, but their presence doesn't significantly increase infection risk.
D. Hardboiled eggs are not necessarily a high-risk food for infection in neutropenic clients.

A. "The client reports pain is reduced when he is positioned on his side." B. "The client received the prescribed antibiotic every 8 hours." C. "The client's mother died 4 years ago from breast cancer." D. "The client's partner visited earlier today for 2 hours."

Correct Answer is A

Explanation

A. Correct. Providing information about the client's pain relief strategies and positioning preferences helps ensure continuity of care and optimal comfort for the client.

B. Incorrect. While medication administration is important, it's not as relevant for the change of shift report as information related to the client's condition, preferences, and care needs.

C. Incorrect. The client's family history of breast cancer is not the most critical information for the immediate care of the client and can be discussed during a more comprehensive assessment.

D. Incorrect. Although family support and visits are important, the duration of the partner's visit is not as relevant as the client's immediate care needs and preferences.

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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 HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

Correct Answer is B

Explanation

A nurse is providing change of shift report for a client. Which of the following information should the nurse include in the report?

Correct Answer is A

Explanation

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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?