A nurse is collecting data from a client who reports difficulty sleeping at night. Which of the following client statements indicates an understanding of sleep promotion?

Choice A Reason:

Wiping from the outer to the inner canthus is not necessary and may cause contamination.

Choice B Reason:

Apply pressure to the lacrimal punctum after administering the drops. After administering eye drops to a child, it is important to gently apply pressure to the lacrimal punctum (located in the inner corner of the eye) for about 1-2 minutes. This helps prevent systemic absorption of the medication and reduces the risk of it going into the nasopharynx and digestive system. The other options are not recommended:

Choice C Reason:

Positioning the child side-lying is not typically required for administering eye drops.

Choice D Reason:

Rinsing the eye with normal saline before administering the drops is not a standard practice and is not recommended unless there is a specific reason to do so, such as eye irritation or foreign body removal.

A. Members of a health care team can share a computer password:

• Sharing computer passwords compromises security and violates client privacy. Each team member should have their unique login credentials for secure access.

B. A client is restricted from accessing his own medical records:

• Clients typically have rights to access their own medical records. Restricting their access without valid legal reasons violates their privacy rights.

C. Information regarding client health can be e-mailed if encrypted:

• This statement addresses the importance of secure electronic communication. Sending client health information via email should be done using encrypted methods to maintain confidentiality and prevent unauthorized access.

D. Unwanted printed health information can be discarded in a trash can:

• Disposing of health information in an unsecured manner, such as discarding it in a trash can, can lead to breaches of privacy. Proper disposal methods, such as shredding or using secure disposal bins, should be followed to maintain confidentiality.