The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:

Give juice and cookies before being put to bed.

Have the parents bring a favorite blanket or pillow from home.

Keep a night light on in the room.

Turn off all the lights in the room.

Answer and Explanation

The Correct Answer is C

Choice C rationale:
Keeping a night light on in the room is the most helpful intervention for a child having difficulty falling asleep. Night lights provide a comforting and soothing environment, reducing the fear of the dark and making the child feel secure. It also helps prevent complete darkness, which can be particularly helpful for children who may be afraid of the dark. This intervention promotes a positive sleep environment and can facilitate the child's ability to fall asleep.
Choice A rationale:
Giving juice and cookies before bedtime is not an appropriate intervention to help a child fall asleep. In fact, providing sugary snacks before bedtime can lead to increased activity and may make it even more challenging for the child to sleep.
Choice B rationale:
Having the parents bring a favorite blanket or pillow from home is a nice gesture and can provide comfort to the child, but it may not directly address the issue of falling asleep. While it can be part of creating a familiar and comforting sleep environment, it may not be sufficient on its own to help the child fall asleep.
Choice D rationale:
Turning off all the lights in the room may not be the best approach, as complete darkness can be frightening for some children. It's important to strike a balance between creating a soothing sleep environment and avoiding overwhelming darkness, which is why keeping a night light on is often a better option.

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Correct Answer is A

Explanation

Choice A rationale:
IM injections of pain medication may be contraindicated for patients who have small, poorly developed muscles. The rationale for this is that IM injections require adequate muscle mass to ensure proper absorption and distribution of the medication. If a patient has small, poorly developed muscles, the injection may not be as effective, and there's a risk of improper medication delivery, which can lead to reduced pain relief and potential complications.
Choice B rationale:
IM injections are not primarily contraindicated for patients based on their cognitive abilities. However, the patient's cognitive abilities may affect their ability to understand and follow instructions related to the injection process. It's essential for healthcare providers to ensure that the patient comprehends the procedure and can cooperate. Patients with cognitive impairments may require additional assistance or alternative methods of pain management, but it's not a direct contraindication to IM injections.
Choice C rationale:
Needing short-term pain management is not a contraindication for IM injections of pain medication. IM injections can be suitable for short-term pain relief, as they can provide relatively rapid and effective pain control. The choice of pain management method should depend on the specific circumstances and the patient's condition, but the duration of pain management needed is not a direct contraindication to IM injections.
Choice D rationale:
Having multiple drug allergies can be a concern when considering IM injections of pain medication, but it is not a direct contraindication. The healthcare provider should carefully assess the patient's allergies and select a medication that is safe and appropriate for the individual. In some cases, alternative routes of administration may be considered to avoid allergenic reactions. However, having multiple drug allergies alone does not necessarily contraindicate IM injections.

A. long periods of time, but it is best to check with the primary care provider first. B. short periods of time without physician approval, because they are nonprescription medications. C. short periods of time, but it is best to check with the primary care provider first. D. long periods of time without primary care provider approval, because they are nonprescription medications.

Correct Answer is C

Explanation

Choice A rationale:

It is not advisable to use sedative pills for long periods of time without consulting a primary care provider. Prolonged use of sedatives can lead to dependence and other adverse effects. Therefore, this choice is incorrect.

Choice B rationale:

Using sedative pills for short periods of time without physician approval is not a safe practice. Even nonprescription medications, including over-the-counter sedatives, should be used under the guidance of a healthcare provider. This choice is incorrect.

Choice C rationale:

The best advice for the patient is to use sedative pills for short periods of time, but it is best to check with the primary care provider first. This is the most appropriate choice as it emphasizes short-term use while also promoting communication with a healthcare provider to ensure the medication's safety and effectiveness.

Choice D rationale:

Using sedative pills for long periods of time without primary care provider approval is not recommended. It can lead to potential risks and side effects associated with prolonged sedative use. Therefore, this choice is incorrect.

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The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:

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Naxlex Comprehensive Predictor Exams

IM injections of pain medication may be contraindicated for patients who:.

Correct Answer is A

Explanation

A patient who has difficulty falling asleep at night because of anxiety over family problems asks if he should start taking sedative pills from the pharmacy to sleep better.The best advice to give this patient is that these pills can be used for:.

Correct Answer is C

Explanation

A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:.

A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy, is slurring words, and is unsteady when ambulating.The nurse should:.

One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:.

The nurse attempts to help an 86-year-old patient describe his pain because the nurse is aware the older adult may not express pain because they:.

A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management.Which of the following statements should the nurse make?

Going to bed hungry or overly full does not interfere with sleep. It helps the patient reach REM state of sleep faster.

A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to: