A nurse is caring for a client who is postoperative and reports having difficulty sleeping. Which of the following interventions should the nurse recommend?
Offer the client hot chocolate or tea prior to rest periods.
Encourage the client to ambulate in the hallway before resting.
Cluster routine care activities to allow rest periods without interruptions.
Encourage the client to watch television to relax.
The Correct Answer is C
A. Offer the client hot chocolate or tea prior to rest periods. While warm beverages can be comforting and help some people relax, hot chocolate and many teas contain caffeine, which can interfere with sleep. Even decaffeinated options might not be the best choice close to bedtime due to the fluid content, which could increase the need for nighttime urination, disrupting sleep.
B. Encourage the client to ambulate in the hallway before resting. Light physical activity, such as ambulating, can help promote relaxation and reduce muscle tension, which might aid sleep. However, it is essential to consider the client's postoperative status and ensure that ambulation is safe and appropriate for their condition. Overexertion close to bedtime might have the opposite effect and increase alertness.
C. Cluster routine care activities to allow rest periods without interruptions. This is a highly recommended intervention. By clustering care activities, the nurse can minimize disturbances during rest periods, allowing the client to have longer, uninterrupted sleep. This is crucial in a hospital setting where frequent interruptions can significantly impact the quality of sleep.
D. Encourage the client to watch television to relax. While watching television can be relaxing for some, it can also be stimulating and potentially interfere with sleep due to the light and noise. Blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. Therefore, this is generally not recommended as a sleep aid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Liver failure: Liver failure is not a common complication of Clostridium difficile infection.
B. Dehydration: Clostridium difficile causes severe diarrhea, which can lead to dehydration in the early stages.
C. Immunosuppression: Immunosuppression is not a direct complication of Clostridium difficile infection.
D. Peripheral edema: Peripheral edema is not commonly associated with Clostridium difficile infection.
Correct Answer is A
Explanation
A. Health Information Technology for Economic and Clinical Health Act: This is correct. The Health Information Technology for Economic and Clinical Health (HITECH) Act provides financial incentives for healthcare facilities to adopt and use electronic health records (EHRs) meaningfully.
B. Affordable Care Act: This act focuses on expanding healthcare coverage and affordability, not specifically on incentives for using EHRs.
C. Balanced Budget Act: This act primarily addresses budgetary issues and Medicare payments, not EHR incentives.
D. Health Insurance Portability and Accountability Act: HIPAA focuses on protecting patient privacy and securing health information, but it does not provide reimbursement incentives for EHR use.
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