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A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?

A.

Eat a light snack before bedtime.

B.

Perform exercises prior to bedtime.

C.

Stay in bed at least 1 hr if unable to fall asleep.

D.

Take a 1-hr nap during the day.

Answer and Explanation

The Correct Answer is A

A.    Eating a light snack before bedtime can help promote sleep by preventing hunger- related awakenings without causing discomfort or indigestion.
B.    Performing exercises prior to bedtime may increase alertness and make it more difficult to fall asleep.
C.    Remaining in bed for extended periods if unable to fall asleep can worsen insomnia by reinforcing the association between the bed and wakefulness.
D.    Taking a long nap during the day can disrupt nighttime sleep patterns and make it more difficult to fall asleep at night.


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Related Questions

Correct Answer is D

Explanation

A. Changing a dressing on an implanted central venous access device involves a sterile procedure and assessment, requiring the skills and knowledge of a licensed nurse.
B. Removing an NG tube is a task beyond an AP’s scope and requires the specialized skills of a registered nurse.
C. Suctioning a tracheostomy requires specialised training and skill to perform safely and should not be delegated to assistive personnel.
D. Performing postmortem is within the scope of an assistive personnel. It does not require any specialized skills and knowledge of a registered nurse.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"B"}}

Explanation

A. Establishing a regular sleep-wake schedule can help regulate circadian rhythms and improve sleep quality, which is beneficial for managing insomnia. B. Napping during the day can disrupt the client's ability to sleep at night, exacerbating insomnia. It's generally recommended to avoid daytime naps for individuals experiencing difficulty sleeping. C. Sleeping in later in the morning can disrupt the client's sleep-wake cycle and contribute to difficulty falling asleep at night. Consistency in sleep-wake times is important for managing insomnia. D. Rising slowly from a sitting position can help prevent orthostatic hypotension, especially for clients taking trazodone, which can cause dizziness or lightheadedness upon standing. E. Trazodone is a medication that may have risks associated with use during pregnancy, so it's important for the client to inform their provider if they are pregnant or planning to become pregnant. F. Loss of appetite is a concern, but encouraging high-calorie finger foods may not address the underlying issue. It's important to address the root cause of the appetite loss and provide appropriate interventions, which may include dietary counseling and addressing stress. G. There is no indication in the scenario that fermented or aged foods would negatively affect the client's condition or interact with trazodone. It's important to focus on addressing the primary concerns of stress, difficulty sleeping, and loss of appetite.

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