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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Ask the client to tilt her head back when swallowing. Tilting the head back can increase the risk of aspiration. Clients with dysphagia should be instructed to tuck their chin to their chest when swallowing.
B. Offer the client larger portions of food during the meal. Smaller portions are safer for clients with dysphagia to reduce the risk of choking and aspiration.
C. Use spoons, instead of cups, when serving liquids to the client. This is correct. Using spoons can help control the amount of liquid the client receives, reducing the risk of aspiration.
D. Encourage the client to complete the meal within 15 min. Rushing a meal increases the risk of choking and aspiration. Clients with dysphagia should eat slowly and take small bites.

A. Keeping a record of dry nights in a daily diary B. Beginning medication therapy to inhibit urination C. Using an alarm to wake the child at the onset of urination D. Using stickers as positive reinforcement for dry nights

Correct Answer is C

Explanation

A. Keeping a record of dry nights in a daily diary: This can be helpful for tracking progress but is not the most effective intervention for treating enuresis.
B. Beginning medication therapy to inhibit urination: Medication can be used in some cases, but it is typically not the first-line treatment for enuresis.
C. Using an alarm to wake the child at the onset of urination: This is correct. Bedwetting alarms are considered the most effective intervention for treating enuresis. They condition the child to wake up or hold urine when the bladder is full.
D. Using stickers as positive reinforcement for dry nights: This can be useful as part of a behavioral approach but is not as effective as using a bedwetting alarm.

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A nurse is caring for a client who is postoperative and reports having difficulty sleeping. Which of the following interventions should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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