The nurse is preparing to change the linens on the bed of a client who has a draining sacral wound infected by MRSA. Which PPE items should the nurse plan to use? (Select all that apply.)

A reason:

Having a cup of hot cocoa immediately before bedtime is not advisable as it contains caffeine, which can interfere with sleep. Herbal teas or warm milk are better alternatives to promote relaxation and sleep.

B reason:

Walking briskly for 30 minutes before bedtime can be stimulating rather than relaxing. While regular exercise is beneficial for sleep, it is best performed earlier in the day. Exercise close to bedtime can increase alertness and make it harder to fall asleep.

C reason:

Doing muscle relaxation techniques each afternoon is beneficial, but the focus should be on practicing these techniques before bedtime to help wind down and prepare for sleep. Afternoon relaxation is good but not directly related to sleep promotion.

D reason:

Avoiding alcohol before bedtime is correct. Although alcohol may initially make one feel drowsy, it can disrupt sleep patterns and reduce sleep quality. Abstaining from alcohol before bed is a positive step toward improving sleep.

A reason:

Providing a sip of warm water and waiting 5 minutes is not sufficient to ensure an accurate oral temperature reading. The temperature of the mouth needs to stabilize, which takes longer than 5 minutes.

B reason:

Documenting that the temperature could not be measured should be a last resort. The nurse should make an effort to obtain an accurate reading after an appropriate waiting period.

C reason:

Proceeding to measure the oral temperature immediately after consuming ice chips will likely yield an inaccurate reading, as the cold temperature can lower the reading artificially.

D reason:

Waiting 30 minutes before measuring the oral temperature is the correct action. This allows the oral cavity to return to its baseline temperature, ensuring a more accurate measurement.