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?
Take a 1-hr nap during the day.
Perform exercises prior to bedtime.
Eat a light snack before bedtime.
Stay in bed at least 1 hr if unable to fall asleep.
The Correct Answer is C
A. Incorrect. Napping for an hour during the day can disrupt nighttime sleep.
B. Incorrect. Exercising prior to bedtime can stimulate the body and interfere with falling asleep.
C. Correct. Eating a light snack before bedtime can help prevent waking due to hunger during the night.
D. Incorrect. Staying in bed if unable to fall asleep can lead to frustration and associating the bed with wakefulness.
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Related Questions
Correct Answer is D
Explanation
A. Placing a pillow under the client's knees would not specifically address preventing a compromise in placental blood flow.
B. Reverse Trendelenburg involves tilting the bed so that the head is elevated and the feet are lower. While this position may help with respiratory difficulties (by allowing the diaphragm to expand), it does not address the concern of aortocaval compression, which is critical during pregnancy.
C. The lithotomy position is used for vaginal deliveries and involves placing the client's feet in stirrups, which is not appropriate for a cesarean birth.
D. The wedge position helps maintain blood flow to the placenta by relieving aortocaval compression, thereby improving venous return and placental perfusion. This is particularly important in pregnant clients, where the uterus can exert significant pressure on these blood vessels in the supine position.
Correct Answer is C
Explanation
A. Hypertension is not typically associated with amniocentesis unless there are underlying conditions.
B. Epigastric pain may be a sign of other issues such as preeclampsia, but it is not a common complication following amniocentesis.
C. Correct. Amniocentesis can sometimes trigger contractions, especially if performed earlier in pregnancy. Monitoring for contractions is important to assess for preterm labor.
D. Vomiting is not a common complication of amniocentesis.
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