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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.
B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.
C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.
D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.
Correct Answer is D
Explanation
Rationale:
A. Bowling is a low-impact activity that may not provide the weight-bearing exercise needed to help prevent osteoporosis.
B. Jogging is a high-impact activity that may not be appropriate for an older adult at risk for osteoporosis due to the potential for joint and bone stress.
C. Passive range-of-motion exercises are not weight-bearing and may not provide the same benefits as weight-bearing exercise.
D. Walking is a weight-bearing exercise that can help to increase bone density and reduce the risk of osteoporosis.
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