A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime?
Offer a wet washcloth for the client to wash their face.
Perform range-of-motion exercises.
Prepare hot cocoa or tea for the client.
Provide a late supper.
The Correct Answer is A
A. Offer a wet washcloth for the client to wash their face: Washing the face with a wet washcloth can promote relaxation and help signal to the body that it’s time to wind down. This calming routine can be soothing and may help improve the client’s ability to fall asleep.
B. Perform range-of-motion exercises: Doing range of motion exercises shortly before bedtime can be overstimulating. Physical activity close to bedtime may increase alertness and make it harder for the client to fall asleep.
C. Prepare hot cocoa or tea for the client: While warm drinks might seem comforting, caffeine in some teas or high sugar in hot cocoa can interfere with sleep. It’s important to avoid stimulants and opt for calming beverages, such as caffeine-free herbal teas, instead.
D. Provide a late supper: A large meal late at night can be disruptive to sleep as it may cause indigestion or discomfort. It’s better to encourage lighter, earlier meals to prevent any disturbances that could affect the client’s ability to fall asleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Call the provider to discuss the client's preference with them and their family: While involving the provider and family is important, the first step should be to educate the client about their options for designating a decision-maker.
B. Explain to the client the process of designating another individual to make decisions for them: The nurse should first provide information about how the client can designate a trusted individual to make decisions for them, such as through a durable power of attorney for healthcare. This allows the client to make an informed decision.
C. Ask the client to discuss these preferences with their family first: The nurse should first empower the client by explaining the process of designating a decision-maker. It is crucial to respect the client’s autonomy in making this decision before involving family.
D. Ask the client if they would like their wishes documented in their health care records: Before documenting, the nurse should ensure the client understands the process of assigning a decision-maker. Documentation is important, but the client needs to understand their options first.
Correct Answer is B
Explanation
A. "You should follow a low cholesterol diet.": While managing cholesterol is important in diabetes care, the primary focus for type 2 diabetes management is controlling blood sugar levels through a balanced diet. Cholesterol management is secondary.
B. "You should follow a balanced intake of carbohydrates, fats, and proteins.": A balanced intake of carbohydrates, fats, and proteins helps regulate blood glucose levels. Carbohydrate counting and distribution are key in diabetes management, and balancing all macronutrients supports optimal blood sugar control and overall health.
C. "You should follow a diet high in vegetables, fiber, and uncooked fruit.": While high fiber intake is beneficial in diabetes management, focusing on vegetables, fiber, and uncooked fruit may limit the client's nutrient intake. A well-rounded, balanced diet is essential.
D. "You should follow a low sodium diet.": Reducing sodium intake is beneficial for heart health, especially in diabetic clients with hypertension. However, controlling blood glucose through a balanced diet should take precedence as the primary focus in managing type 2 DM.
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