A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep.

Caffeine use

Evening meal

Use of electronic devices

Exercise schedule

Bedtime Medications

Answer and Explanation

Correct Answer : A,C

A.   Caffeine is a stimulant and can interfere with sleep, especially if consumed in the afternoon or evening. It can lead to difficulty falling asleep and disrupt the sleep cycle.
B.   While heavy meals close to bedtime can cause discomfort or indigestion, a light evening meal generally does not significantly interfere with sleep for most individuals.
C.   The use of electronic devices, particularly before bedtime, can interfere with sleep due to the blue light emitted by screens. This light can suppress the production of melatonin, a hormone that helps regulate sleep.
D.   Regular exercise generally promotes better sleep. However, vigorous exercise close to bedtime may interfere with sleep due to the increase in adrenaline, but this is not always the case.
E.   The medications taken by the individual do not interfere with sleep.

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Correct Answer is B

Explanation

A. Offer small amounts of clear liquids 6 hr following surgery: Typically, clear liquids can be introduced earlier if the child is awake and has no nausea.

B. Administer analgesics on a scheduled basis for the first 24 hr: Scheduled analgesia provides consistent pain relief, improving comfort and facilitating early mobilization, which is essential for preventing complications such as ileus or pneumonia.

C. Give cromolyn nebulized solution every 8 hr: Cromolyn is used for asthma, not postoperative care.

D. Apply a warm compress to the operative site once daily: Heat application to the surgical site is contraindicated as it may promote infection.

A. "I'm feeling much better." B. less fatigue C. difficulty sleeping D. not sad anymore E. frequent headaches F. Client continues to deny any suicidal ideation. G. BP 169/91 mm Hg H. Heart rate 78/min I. Respiratory rate 18/min

Correct Answer is ["C","E","G"]

Explanation

Difficulty sleeping: This can be a side effect of fluoxetine, which can cause insomnia in some individuals.
Frequent headaches: Headaches are a common side effect of many antidepressants, including fluoxetine.
BP 169/91 mm Hg: Elevated blood pressure can be an adverse effect of fluoxetine, especially if the client has a history of hyperlipidemia.

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A nurse is caring for a client in an outpatient clinic. Exhibits Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is ["C","E","G"]

Explanation

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A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep.