The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.
To try to alleviate the problem, the nurse counsels her to try:.

sleep with the window open for fresh air.

perform some sort of exercise at bedtime.

having a couple of drinks at bedtime.

to wear soft earplugs for sleep.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Sleeping with the window open for fresh air may not be the best solution in this scenario. While fresh air can be beneficial for sleep, it might not effectively block out the noise from the freeway and the nearby apartment complex. Furthermore, depending on the climate and location, having the window open might lead to discomfort or temperature-related issues.

Choice B rationale:

Performing exercise at bedtime is not a recommended solution for someone experiencing difficulty sleeping due to external noise. Exercise before bedtime can increase alertness and make it even more challenging to fall asleep, especially if it's vigorous exercise. It may exacerbate the problem rather than alleviate it.

Choice C rationale:

Having a couple of drinks at bedtime is not a suitable solution for sleep problems. Alcohol can disrupt sleep patterns and lead to poor-quality sleep. It may help the patient fall asleep initially but can lead to frequent awakenings and a less restful night's sleep.

Choice D rationale:

The correct choice is to wear soft earplugs for sleep. Soft earplugs can effectively reduce or block out external noise, providing a quieter sleep environment. This is a practical and safe solution to address the noise issue in the patient's apartment complex. It promotes better sleep quality without any negative side effects.

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Correct Answer is D

Explanation

Choice A rationale:

Some older adults may indeed have concerns about taking pain medication, but this is not a primary reason for their hesitance to express pain. The fear of taking medication is not a universal characteristic of older adults.

Choice B rationale:

While older adults may be reluctant to bother nursing staff, this is not the primary reason for their reluctance to express pain. It is a consideration but not the main factor.

Choice C rationale:

The unawareness of discomfort is not a common reason for older adults to avoid expressing pain. Most older adults are aware of their discomfort but may not express it for other reasons.

Choice D rationale:

Older adults may have been culturally trained not to complain about pain or discomfort. In some cultures, stoicism and not burdening others with one's pain are highly valued. This cultural training can lead older adults to underreport their pain.

Choice E rationale:

Believing pain is a natural consequence of aging is a misconception, but it is not the primary reason why older adults may not express their pain. They may believe this, but cultural and societal factors have a more significant impact.

A. True B. False

Correct Answer is A

Explanation

Choice A rationale:

Going to bed hungry or overly full can interfere with sleep. When you're too hungry, your body may be uncomfortable and unable to relax, making it difficult to fall asleep. Conversely, going to bed overly full can lead to discomfort, and indigestion, and may result in disrupted sleep. Therefore, it does not help the patient reach REM (Rapid Eye Movement) sleep faster.

Choice B rationale:

Overeating or going to bed hungry does not aid in reaching REM sleep faster. It is essential for individuals to have a balanced diet and avoid excessive hunger or fullness to promote a healthy sleep pattern. REM sleep is a stage of deep sleep that occurs cyclically throughout the night, and it is influenced by various factors, including individual sleep patterns and circadian rhythms.

Choice C rationale:

REM sleep, a stage of deep sleep, is not influenced by going to bed hungry or overly full. Instead, it is primarily regulated by the body's internal clock and sleep-wake cycles. Factors such as hunger or fullness may affect the quality of sleep but do not contribute to reaching REM sleep faster.

Choice D rationale:

False. Going to bed hungry or overly full does not have a direct impact on the patient's ability to reach REM sleep faster. REM sleep is a natural part of the sleep cycle and is influenced by various factors, such as circadian rhythms, sleep disorders, and medications, but not by the state of hunger or fullness.

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The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:.

Correct Answer is D

Explanation

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

Correct Answer is A

Explanation

A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

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:.

A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

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

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.

A sleeping patient has periodic pauses in breathing, then starts to breathe again.The nurse recognizes this sleep pattern is consistent with:.

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense a dose of analgesia. Which of the following responses should the nurse make?

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.
To try to alleviate the problem, the nurse counsels her to try:.