A nurse is providing education to a client diagnosed with insomnia. What sleeppromoting techniques would the nurse suggest to help the client's condition? Select all that apply.
Avoid caffeine beverages at least 4 to 6 hours before bedtime.
Take 2-hour naps during the day.
Obtain a massage.
Maintain a regular sleep-wake cycle.
Engage in a regular exercise routine at least 3 hours before going to bed.
Correct Answer : A,D,E
correct answers are:
A. Avoid caffeine beverages at least 4 to 6 hours before bedtime.
D Maintain a regular sleep-wake cycle.
E Engage in a regular exercise routine at least 3 hours before going to bed.
The nurse would suggest the client avoid caffeine beverages because caffeine is a stimulant that can keep the client awake. The nurse would also recommend maintaining a regular sleep-wake cycle because the body responds to consistent sleep and wake times, which can help promote restful sleep. Engaging in a regular exercise routine at least 3 hours before going to bed can help promote sleep by reducing stress and anxiety, and improving physical health. However, the nurse would not recommend taking 2-hour naps during the day, as this can interfere with the ability to sleep at night, and obtaining a massage, although it may be relaxing, may not directly promote sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A.Observe for signs and symptoms of respiratory distress.
B.Auscultate anterior and posterior lung fields.
C. Inspect the skin for pallor and cyanosis.
E. Observe rate, rhythm, and depth of respirations.
When assessing a client's oxygenation status, a nurse should observe for signs and symptoms of respiratory distress, such as dyspnea, wheezing, and use of accessory muscles. Auscultation of the anterior and posterior lung fields is important to identify any adventitious breath sounds such as crackles, wheezes or rhonchi that may indicate airway obstruction, fluid accumulation, or other respiratory abnormalities. Inspection of the skin is also important to detect pallor or cyanosis, which may indicate reduced oxygen levels in the blood. Lastly, observing the rate, rhythm, and depth of respirations can provide information on the adequacy of oxygen exchange in the lungs.
Correct Answer is D
Explanation
The correct answer is choice D, Evaluation.
Evaluation is the step of the nursing process where the nurse assesses the client's response to interventions that were implemented during the implementation step. In this scenario, the nurse administered pain medication and is now evaluating its effectiveness by asking the client to rate their current level of pain on a scale of 0 to 10. Based on the client's response, the nurse can determine whether the intervention was successful or whether adjustments to the plan of care are necessary.
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