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A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

Administer prescribed diuretics in the evening.

Use overhead lighting when checking equipment.

Keep the door to the client's room closed.

Provide the client with snug-fitting nightwear.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Administering diuretics in the evening may increase the client's need to urinate and disrupt sleep.

B. Using overhead lighting when checking equipment may disrupt the client's sleep and should be avoided.

C. Keeping the door to the client's room closed can reduce noise and disturbances from the hallway, promoting a more restful sleep environment.

D. Providing snug-fitting nightwear may be uncomfortable and restrict movement during sleep.

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Correct Answer is B

Explanation

Rationale:

A. This response addresses the client's desire to have family visits but does not directly address the client's concerns about end-of-life care.

B. Asking the client to express their expectations about activities related to the end-of-life allows the nurse to understand the client's wishes and concerns and to provide appropriate support.

C. This response addresses the client's need for pain management but does not directly address the client's concerns about end-of-life care.

D. This response addresses the client's need for spiritual support but does not directly address the client's concerns about end-of-life care.

A. Washing the client's face B. Gathering the client's personal belongings C. Closing the client's eyes D. Removing the client's dentures from their mouth

Correct Answer is D

Explanation

Rationale:

A. Washing the client's face is part of postmortem care and is appropriate.

B. Gathering the client's personal belongings is part of postmortem care and is appropriate.

C. Closing the client's eyes is part of postmortem care and is appropriate.

D. Removing the client's dentures from their mouth is not part of postmortem care and may be distressing for the family. The nurse should intervene and ensure the dentures are left in place.

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A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

Correct Answer is B

Explanation

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer is D

Explanation

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