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 B

Explanation

A. H2RAs are not typically associated with causing or alleviating diarrhea. Their primary function is to reduce gastric acid secretion, which is not directly related to diarrhea. Therefore, cessation of diarrhea is not an indicator of the therapeutic effect of an H2RA.
B. Heartburn is a common symptom associated with excess stomach acid, often due to conditions like GERD. H2RAs work by decreasing the amount of acid produced in the stomach, which helps relieve heartburn. Therefore, relief of heartburn is a direct indication that the H2RA is achieving its therapeutic effect.
C. Constipation is not a common effect of H2RAs; instead, it is often more related to other types of medications or dietary issues. Since H2RAs are designed to reduce stomach acid and not to affect bowel movements, the absence of constipation is not a relevant outcome for assessing the effectiveness of an H2RA.
D. Flatus, or gas, is not directly affected by H2RAs. The primary purpose of H2RAs is to manage acid- related conditions, and while gastrointestinal symptoms might be related, passage of flatus is not a specific indicator of the effectiveness of an H2RA.

A. Lactated Ringer's solution B. Dextrose 10% in water C. Dextrose 5% in water D. 0.9% sodium chloride

Correct Answer is C

Explanation

A. While Lactated Ringer's is often used for fluid resuscitation, it doesn't contain the necessary nutrients to replace TPN. It can lead to electrolyte imbalances and other complications if used for extended periods.
B. While Dextrose 10% provides calories, it lacks essential amino acids, electrolytes, and other nutrients found in TPN. Prolonged use can lead to imbalances and nutritional deficiencies.
C. Dextrose 5% in water is a commonly used IV fluid that can be administered temporarily while waiting for the next TPN container. It provides hydration and some calories, but it's important to monitor the client's glucose levels closely.
D. While 0.9% sodium chloride (normal saline) is used for fluid replacement, it can lead to hypernatremia (excess sodium) if used for extended periods, especially in clients receiving TPN.

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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

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Explanation

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Correct Answer is C

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