Which statement made by a client experiencing insomnia indicates a need for further education by the nurse? "I

set my bedroom temperature at 65 degrees at night."

like to take a long walk at about 3:00 PM every day."

used to pay my bills in bed. but I don't anymore."

drink a few scotch and sodas while I watch TV at night before I go to sleep."

Answer and Explanation

The Correct Answer is D

D. Consuming alcoholic beverages, especially close to bedtime, can disrupt sleep patterns and exacerbate insomnia. While alcohol may initially have a sedative effect and induce drowsiness, it can lead to fragmented and poor-quality sleep later in the night, resulting in worsened insomnia symptoms. Therefore, this statement indicates a need for further education by the nurse regarding the negative impact of alcohol consumption on sleep and the importance of avoiding alcohol before bedtime to improve sleep quality.
A. Keeping the bedroom cool (around 65 degrees Fahrenheit) is generally recommended for promoting sleep because a cooler temperature can help facilitate the body's natural temperature drop, which occurs during sleep onset.
B. Engaging in regular physical activity, such as taking a long walk during the day, can be beneficial for promoting better sleep. Physical activity during the day can help regulate the sleep-wake cycle, reduce stress, and improve overall sleep quality. Therefore, this statement reflects a positive sleep hygiene practice and does not indicate a need for further education.
C. This statement suggests an understanding of the importance of associating the bed with sleep and avoiding activities that may interfere with sleep, such as paying bills or working in bed. Maintaining the bed as a place primarily for sleep and intimacy can help condition the mind and body to associate the bed with relaxation and sleep.

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Correct Answer is D

Explanation

D. This is the most appropriate technique for evaluating the success of teaching a client a psychomotor skill. A return demonstration involves the client independently performing the skill they have been taught while the nurse observes. This allows the nurse to assess the client's ability to execute the skill correctly, including aspects such as technique, coordination, and safety precautions. Additionally, the nurse can provide immediate feedback and correction if necessary, enhancing the client's learning experience.
A. While answering oral questions can assess the client's understanding of theoretical or conceptual knowledge, it may not effectively evaluate their ability to perform a psychomotor skill. Psychomotor skills involve physical actions and coordination, which cannot be adequately assessed through verbal responses alone.
B. Participating in a discussion group can facilitate sharing of experiences and perspectives among clients, but it may not be the most effective method for evaluating the client's ability to perform a psychomotor skill. Discussion groups are more suitable for exploring attitudes, beliefs, and understanding of concepts rather than assessing physical skills.
C. Written tests typically assess cognitive understanding and retention of information rather than the ability to perform psychomotor skills. While written tests can evaluate knowledge about the steps involved in a skill, they do not directly assess the client's ability to execute the skill itself.

A. Warmth and palpable cord along the vein B. A raised ecchymotic painful area C. Swelling and tenderness at the site D. Blanching and coolness of surrounding skin

Correct Answer is A

Explanation

A. These are indicative of inflammation within the vein, which is characteristic of phlebitis. Warmth is a common sign of inflammation, and the palpable cord suggests that the vein may be hardened or cord- like due to inflammation and irritation.
B. While this could indicate some form of vascular injury or extravasation, it is not a typical presentation of phlebitis. Phlebitis involves inflammation of the vein, which may cause redness, warmth, and tenderness along the course of the vein, but it typically does not manifest as a raised ecchymotic (bruised) area.
C. Swelling occurs due to inflammation within the vein, and tenderness is often present as a result of the irritation and inflammation. These symptoms are commonly observed in cases of phlebitis but are not specific.
D. These are not typical signs of phlebitis. Blanching (turning white) and coolness of the skin may suggest reduced blood flow to the area, which could occur in cases of ischemia or thrombosis but are not characteristic of phlebitis.

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Which statement made by a client experiencing insomnia indicates a need for further education by the nurse? "I

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse wants to evaluate the success of teaching the client a psychomotor skill. The best technique to use to evaluate this type of learning is to have the client:

Correct Answer is D

Explanation

The nurse assessing a client's intravenous catheter site suspects a phlebitis based on which clinical findings?

Correct Answer is A

Explanation

The nurse is caring for a client receiving an intravenous medication that is a vesicant. The IV flow has stopped and there is pain, burning and swelling at the IV site. What action should the nurse take first?

The nurse suspects that a client's intravenous solution has infiltrated. What action should the nurse take first?

The following arterial blood gas results would demonstrate to the nurse that the client is experiencing which acid-base imbalance? pH 7.31 PaCO2 40, HCO3 18, pa02 92

The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:

A client requires an IV antibiotic piggyback. The nurse understands that the primary IV solution with gravity flow tubing needs to be hung:

A nurse caring for a client who has a peripheral intravenous saline lock understands that its purpose is to:

The client asks the nurse not to tell the family about the medical diagnosis. In meeting this request, the nurse would be upholding which of the following?

It is a busy day on the medical-surgical floor, and the nurse must teach a client ready for discharge about his medications. How can the nurse most efficiently utilize time and provide this education?