A nurse is teaching a client measures to help relieve sleeplessness. Which would be the highest priority teaching point during the instructional session?
Avoid caffeine-containing beverages before sleep
Perform strenuous exercise before bedtime
Drink lots of fluids before bedtime
Eat a heavy meal before bedtime.
The Correct Answer is A
A. Avoid caffeine-containing beverages before sleep
The highest priority teaching point to help relieve sleeplessness would be to advise the client to avoid caffeine-containing beverages before sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and maintain a restful sleep.
B. Perform strenuous exercise before bedtime
Strenuous exercise close to bedtime can actually stimulate the body and make it more difficult for the individual to relax and fall asleep. It is generally recommended to engage in exercise earlier in the day.
C. Drink lots of fluids before bedtime
Drinking excessive fluids before bedtime may lead to disrupted sleep as it can increase the need to wake up for bathroom trips during the night. It's advisable to limit fluid intake close to bedtime.
D. Eat a heavy meal before bedtime
Consuming a heavy meal before bedtime can cause discomfort and indigestion, potentially disrupting sleep. It is recommended to have a light, easily digestible meal if eating close to bedtime.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Headache, dizziness, and fatigue
Ondansetron (Zofran) is commonly used to control nausea and vomiting associated with chemotherapy. While it is generally well-tolerated, some common side effects may include headache, dizziness, and fatigue.
B. Anorexia and hair loss
Anorexia (loss of appetite) and hair loss are not commonly associated with ondansetron. These symptoms may be side effects of chemotherapy itself, but they are not typically attributed to ondansetron.
C. Abdominal cramping and irritability
Abdominal cramping and irritability are not common side effects of ondansetron. These symptoms may be related to other factors, but they are not typically associated with this antiemetic medication.
D. Psychosis and middle ear disturbances
Psychosis and middle ear disturbances are not common side effects of ondansetron. These symptoms may be associated with other medications or conditions, but they are not typically attributed to ondansetron.
Correct Answer is B
Explanation
A. The patient's understanding of the medication:
While it's important for the patient to understand their medication, assessing their understanding is typically done through patient education and counseling. This assessment is vital for promoting adherence and safe medication practices but is not the primary consideration immediately before administration.
B. The patient's ability to swallow:
This is the correct answer. Assessing the patient's ability to swallow is crucial before administering oral medications to ensure that the patient can safely and effectively take the prescribed medication without the risk of aspiration or choking.
C. The patient's allergies:
Assessing the patient's allergies is an essential step in medication administration, but it is generally part of the overall medication safety process. It may not be the primary assessment immediately before administering an oral medication, but it is a crucial consideration.
D. The eyesight:
The patient's eyesight is not typically a primary assessment before administering oral medications. While visual impairments can affect a patient's ability to read medication labels or instructions, it is not the immediate concern when assessing readiness for oral medication administration.
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