A nurse is assisting with a workshop for clients who have increased stress. Which of the following recommendations should the nurse include?

"Nap several times during the day to promote sleep at night."

"Exercise 1 hour before bedtime to prevent sleep interruption."

"Limit coffee to no more than 6 cups per day."

"Listen to your favorite music to enhance feelings of calm."

Answer and Explanation

The Correct Answer is D

A. "Nap several times during the day to promote sleep at night.": Frequent daytime naps can disrupt the sleep-wake cycle and make it more difficult to fall asleep at night, potentially worsening insomnia and stress. Short naps earlier in the day may be beneficial, but multiple naps are not recommended as a general strategy for stress reduction.

B. "Exercise 1 hour before bedtime to prevent sleep interruption.": Vigorous exercise immediately before bedtime can increase heart rate and adrenaline levels, making it harder to fall asleep. For stress management, exercise is most effective when performed earlier in the day or at least a few hours before sleep to promote relaxation and improve sleep quality.

C. "Limit coffee to no more than 6 cups per day.": Consuming six cups of coffee daily exceeds recommended caffeine limits and can contribute to anxiety, restlessness, and sleep disturbances. Effective stress management includes limiting caffeine intake to moderate levels, generally less than 200–400 mg per day, depending on individual tolerance.

D. "Listen to your favorite music to enhance feelings of calm.": Listening to music is a recognized nonpharmacologic strategy for stress reduction. It can decrease sympathetic nervous system activity, lower heart rate and blood pressure, and promote relaxation. Music therapy supports emotional well-being and can be incorporated easily into daily routines to manage stress.

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Correct Answer is A

Explanation

A. Poor feeding: Newborns experiencing neonatal abstinence syndrome (NAS) often have neurologic irritability and gastrointestinal dysfunction caused by withdrawal from in utero exposure to opioids or other substances. Poor feeding, along with vomiting, diarrhea, and excessive sucking, is a common manifestation.

B. Weak cry: Infants with NAS typically have a high-pitched, shrill, or incessant cry due to central nervous system hyperactivity. A weak or soft cry is not characteristic and may suggest other neurologic conditions rather than withdrawal.

C. Hypotonia: NAS usually presents with hypertonia, jitteriness, and tremors. Hypotonia is not a typical finding; decreased muscle tone may indicate a different neurologic or metabolic disorder.

D. Absent Moro reflex: The Moro reflex is generally intact or exaggerated in infants with NAS because of increased neuromuscular irritability. An absent reflex is more consistent with severe neurologic impairment rather than substance withdrawal.

A. Pull the auricle upward and outward. B. Pull the auricle downward and backward. C. Pull the auricle upward and backward. D. Pull the auricle downward and outward.

Correct Answer is C

Explanation

A. Pull the auricle upward and outward: While pulling the auricle upward helps straighten the external auditory canal in adults, directing it outward does not fully align the canal’s natural S-shaped curve. Proper straightening requires a backward motion to allow the medication to flow toward the tympanic membrane effectively.

B. Pull the auricle downward and backward: Pulling the auricle downward and backward is the technique used for children younger than 3 years of age. In young children, the ear canal is more horizontal, and this maneuver helps straighten it appropriately. This method is not correct for adults.

C. Pull the auricle upward and backward: In adults, the external auditory canal curves upward and posteriorly. Pulling the auricle upward and backward straightens the canal, facilitating proper instillation of the medication and ensuring it reaches the intended area near the tympanic membrane.

D. Pull the auricle downward and outward: This technique does not effectively straighten the adult ear canal. Incorrect positioning can result in medication pooling in the outer canal rather than reaching the deeper structures where therapeutic action is needed.

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A nurse is assisting with a workshop for clients who have increased stress. Which of the following recommendations should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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