A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I will have a cup of hot cocoa immediately before bedtime."

I will no longer have a glass of wine before bedtime."

"I will walk briskly for 30 minutes before bedtime."

"I will do my muscle relaxation techniques each afternoon."

Answer and Explanation

The Correct Answer is B

A.   Consuming hot cocoa, especially if it contains caffeine or sugar, is generally not advisable before bedtime. Caffeine is a stimulant that can interfere with the ability to fall asleep, and sugar can lead to disruptions in sleep. Even if the hot cocoa is caffeine-free, having a liquid right before bed can cause frequent awakenings during the night.
B.   Alcohol can initially make a person feel drowsy, but it often disrupts sleep patterns later in the night, leading to poorer quality sleep. Reducing or eliminating alcohol consumption before bedtime can improve sleep quality and promote better rest.
C.   While regular physical activity is beneficial for sleep, exercising too close to bedtime can actually be stimulating and make it harder to fall asleep. It is generally recommended to complete vigorous exercise at least 2-3 hours before going to bed to avoid interfering with sleep.
D.   Muscle relaxation techniques, such as progressive muscle relaxation, are effective for reducing stress and improving sleep quality. However, performing these techniques in the afternoon is less beneficial compared to doing them closer to bedtime.

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Correct Answer is D

Explanation

A. Palpating the pedal pulses is important for assessing circulation and vascular status, not for evaluating muscle strength. This action helps in determining blood flow to the lower extremities but does not provide information about the client’s muscle strength or ability to ambulate.
B. Asking the client how strong she feels provides subjective information about her perceived strength but does not objectively assess muscle strength. This method relies on the client's self-assessment, which may not always be accurate or reliable.
C. Touching the finger to the nose is a test of coordination and can help assess motor function and neurological status. While it provides information about coordination, it does not specifically measure the client’s overall muscle strength, especially in the lower extremities, which is critical for safe ambulation.
D. Asking the client to push her feet against the nurse’s palms is an effective way to assess lower
extremity muscle strength. This action allows the nurse to gauge the client’s ability to exert force with
their legs, which is essential for ambulation and overall mobility.

A. Chicken broth B. Cranberry juice C. Flavored gelatin D. Skim milk

Correct Answer is D

Explanation

A. Chicken broth is a clear liquid and would be appropriate for a clear liquid diet. However, it is not suitable for a full liquid diet because it is a clear liquid and does not represent the expanded options available on a full liquid diet.
B. Cranberry juice is a clear liquid and is appropriate for a clear liquid diet but is not typically included in the full liquid diet. While it is acceptable for hydration, it does not provide the more substantial nutrition options available in a full liquid diet.
C. Flavored gelatin is part of the clear liquid diet but is also compatible with the full liquid diet. It is liquid at room temperature and does not contain solid particles, making it an acceptable option for a full liquid diet.
D. Skim milk is considered a full liquid as it is liquid at room temperature and provides additional nutrients like protein and calcium that are beneficial for recovery. It is a suitable addition when progressing from a clear liquid diet to a full liquid diet.

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A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Correct Answer is D

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A nurse is providing care for a client who is 2 days postoperative following abdominal surgery and is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?

Correct Answer is D

Explanation

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