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. Hyperthermia may indicate a transfusion reaction, but dyspnea is a more immediate concern.
B. Urticaria may indicate a mild allergic reaction, but dyspnea is a more immediate concern.
C. Dyspnea is a sign of a possible transfusion reaction and should be reported immediately to the provider.
D. A headache may indicate a mild reaction to the blood transfusion, but dyspnea is a more immediate concern.
Correct Answer is C
Explanation
Rationale:
A. Disclosing health information to an insurance agency without written consent is a violation of client confidentiality.
B. Disclosing health information to a family member without written consent is a violation of client confidentiality.
C. Disclosing health information to a medical interpreter service on behalf of a client is permissible under HIPAA regulations, as long as the interpreter is bound by confidentiality requirements.
D. Disclosing health information to an employer without written consent is a violation of client confidentiality.
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