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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This vitamin is water-soluble, not fat-soluble. It is important for immune function, collagen synthesis, and antioxidant protection. Since it is water-soluble, it does not require fat for absorption and is not typically included in fat-soluble vitamin supplements.
B. This vitamin is fat-soluble, meaning it requires fat for absorption. In conditions like acute pancreatitis, where fat absorption may be impaired, supplementation with vitamin A might be necessary to ensure adequate levels. Vitamin A is crucial for vision, immune function, and skin health.
C. This is a water-soluble vitamin involved in carbohydrate metabolism and nervous system function. It does not require fat for absorption and is not typically supplemented in cases of impaired fat absorption. It is important but not related to the fat-soluble vitamin needs in pancreatitis.
D. This is also a water-soluble vitamin necessary for red blood cell formation and neurological function. Although it can be affected in conditions of poor absorption, it is not a fat-soluble vitamin. It requires intrinsic factor for absorption in the intestines but does not relate to fat-soluble vitamin supplementation.
Correct Answer is D
Explanation
A. Keeping spare crutch tips handy is a good practice. Crutch tips can wear out over time and need to be replaced to maintain stability and safety. Having spare tips ensures that the client can replace them as needed and avoid potential accidents or falls.
B. Bearing the weight of the body on the hands is an incorrect usage of crutches. The proper technique involves placing weight on the hands and forearms rather than the armpits. The weight should not be supported by the axillae (armpits) to prevent nerve damage and discomfort.
C. Inspecting crutches daily for signs of wear is a recommended practice. Regular inspection helps identify any issues with the crutches, such as worn tips or loose fittings, which could compromise their effectiveness and safety.
D. Using crutches from another person can be problematic. Crutches should be properly fitted to the user to ensure safety and effectiveness. Using crutches that are not adjusted to fit the client's height and needs can lead to improper use, discomfort, and increased risk of injury.
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