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?
"I moved the television to my bedroom for background noise."
"I go to the 24-hour gym shortly before I go to bed."
"I am eating dinner later in the evening."
"I am going to bed at the same time every night."
The Correct Answer is D
Choice A Reason:
"I moved the television to my bedroom for background noise." Having a television in the bedroom can be disruptive to sleep because it can interfere with relaxation and contribute to increased screen time before bed.
Choice B Reason:
"I go to the 24-hour gym shortly before I go to bed." Exercising shortly before bedtime can stimulate the body and make it more difficult to fall asleep. It's generally recommended to finish exercise at least a few hours before bedtime.
Choice C Reason:
"I am eating dinner later in the evening." Eating a heavy meal or eating too close to bedtime can lead to discomfort and indigestion, making it harder to sleep. It's better to have dinner at least a few hours before bedtime.
Choice D Reason:
"I am going to bed at the same time every night." The statement "I am going to bed at the same time every night" indicates an understanding of sleep promotion because it reflects consistency in the client's sleep schedule. Maintaining a regular sleep schedule helps regulate the body's internal clock and promotes healthy sleep patterns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Yellow patches in the mouth. Yellow patches in the mouth are indicative of a candida infection, specifically oral candidiasis, which is commonly known as thrush. Candida is a type of yeast that can overgrow in the mouth, leading to the development of creamy or yellowish-white patches on the tongue, inner cheeks, and other oral mucosal surfaces. These patches are often described as "cottage cheese-like" in appearance.
Choice B Reason:
Brittle nails are more commonly associated with conditions like fungal nail infections or nail trauma.
Choice C Reason:
Night sweats can occur for various reasons, including hormonal changes, infections, or underlying medical conditions, but they are not specific to candida infections.
Choice D Reason:
Hearing loss is not a typical symptom of candida infections but may be associated with ear infections or other ear-related conditions.
Correct Answer is D
Explanation
Choice A Reason:
Positioning the knot of the rope at the top of the pulley is incorrect. The knot should be placed at the foot of the bed to ensure proper traction.
Choice B Reason:
Removing the weights for 20 minutes without a healthcare provider's order is not appropriate. If the client experiences severe pain, the nurse should assess the client, evaluate the traction system, and notify the healthcare provider if necessary.
Choice C Reason:
Applying 6.8 kg (15 lb) of weight for use in traction is not the standard practice. The amount of weight used in Buck's traction varies depending on the healthcare provider's orders and the client's specific condition. The nurse should follow the healthcare provider's orders regarding the amount of weight to apply.
Choice D Reason:
Compare bilateral pedal pulses. When caring for a client with Buck's traction, it is essential to regularly assess the circulation to the extremity in traction. Comparing bilateral pedal pulses helps the nurse determine if there are any circulation issues in the affected leg. If the client's circulation is compromised, it can lead to complications such as deep vein thrombosis (DVT) or compartment syndrome.
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