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Exhibits

Which other recommendation(s) could the nurse give to help the client have better sleep? Select all that apply.

Avoid naps

Eat a heavy meal before bed

Watch television in bed to fall asleep

Exercise in the evening

Try to go to bed and awaken at the same time every day

Avoid alcohol in the evening

Take an analgesic before bed

Answer and Explanation

Correct Answer : A,E,F

A. Avoid naps – Napping during the day, especially late in the afternoon or evening, can interfere with the ability to fall asleep at night. It is generally recommended to avoid naps if experiencing insomnia.

B. Eat a heavy meal before bed – Eating a heavy meal before bed can cause discomfort and indigestion, making it harder to sleep. It is better to have a light snack if needed.

C. Watch television in bed to fall asleep – Engaging in stimulating activities like watching television in bed can make it harder to relax and fall asleep. It is recommended to reserve the bed for sleep and intimacy only to associate it with rest.

D. Exercise in the evening – Exercise increases alertness and can elevate body temperature, making it more difficult to fall asleep if done too close to bedtime. Exercise should be completed earlier in the day for better sleep quality.

E. Try to go to bed and awaken at the same time every day – Consistency in sleep-wake times helps regulate the body's internal clock, improving sleep quality and promoting better sleep hygiene.

F. Avoid alcohol in the evening – Alcohol can initially make someone feel sleepy but disrupts the later stages of sleep, leading to poor sleep quality. Avoiding alcohol, especially close to bedtime, is important for better rest.

G. Take an analgesic before bed – Unless there is a specific medical reason, taking an analgesic (such as pain medication) before bed is not recommended unless prescribed by a healthcare provider.

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Correct Answer is A

Explanation

A. Notify information services department of the situation is the correct first step. The nurse should immediately report the issue to the information services department to resolve the problem with the computer system. This ensures that the issue is addressed promptly and minimizes any delays in documentation or patient care.

B. Wait for notification that the system has been rebooted is not the best action. While waiting for the system to reboot might be necessary, the nurse should first notify the information services department to expedite the resolution of the issue.

C. Identify information as late entry in the record may be necessary once the system is restored, but the immediate priority is to report the system failure so that it can be addressed and the documentation can be completed correctly.

D. Print electronic medical record (EMR) from backup server may be an option if the system cannot be restored, but the first step should be to notify the information services department. The backup server can be used if needed after the issue is reported.

A. Irrigate the nasogastric tube with water. B. Elevate the head of bed 45 degrees. C. Review the advanced directive document. D. Perform oropharyngeal suctioning.

Correct Answer is D

Explanation

A. Irrigate the nasogastric tube with water may be necessary if the tube is clogged, but it does not address the immediate concern of the client choking. The priority is ensuring the client’s airway is clear.

B. Elevate the head of bed 45 degrees is a useful intervention for reducing aspiration risk, but it does not address the immediate need to clear the airway when the client is choking. Elevating the head of the bed could be helpful after the airway is cleared.

C. Review the advanced directive document is important for understanding the client’s wishes, but the immediate priority is addressing the choking. The nurse should focus on clearing the airway first, then review the advanced directive as appropriate.

D. Perform oropharyngeal suctioning is the most appropriate action. The client is vomiting and choking, which suggests a risk of airway obstruction. Oropharyngeal suctioning will help clear the airway and prevent aspiration, which is the priority in this situation.

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Exhibits Which other recommendation(s) could the nurse give to help the client have better sleep? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is documenting wound care in a client's electronic medical record (EMR) when the computer system shuts down. Which action should the nurse implement first?

Correct Answer is A

Explanation

A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which action should the nurse take?

Correct Answer is D

Explanation

The palliative care nurse receives a consult for a terminally ill client in the intensive care unit (ICU). The client is weak, mouth breathing, and refusing anything to eat or drink. Which intervention should the nurse include in the plan of care?

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A 19-year-old client is admitted to the hospital with severe right lower quadrant abdominal pain. The father is requesting to know his son's laboratory test results. Which is the best response for the nurse to provide?

The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?

The nurse enters a client's room to perform a physical assessment and finds the client crying. Which response is best for the nurse to provide?

The healthcare provider prescribes streptomycin 200 mg intramusculary every 12 hours. The vial is labeled, "Streptomycin 1 gram/2.5 mL". How many milliliters should the nurse administer? (Enter numerical value only. (If rounding is required, round to the nearest tenth.)

A client is being discharged postsurgery. Which information provided by the client requires additional instruction by the nurse?

The nurse is caring for a client in isolation who requires wound care. The nurse should prepare to enter the room by performing these actions in which order? (Arrange with the first step on top and the last step at the bottom.)

Exhibits

Which other recommendation(s) could the nurse give to help the client have better sleep? Select all that apply.