A nurse is caring for a client who reports insomnia. Which of the following actions should the nurse take?
Wear hard-soled shoes when caring for the client.
Restrict visitors when the client is sleeping.
Keep the door to the client's room open.
Spread client care activities throughout the shift.
The Correct Answer is B
A. Wear hard-soled shoes when caring for the client:
Hard-soled shoes can create noise and further disrupt the client’s sleep.
B. Restrict visitors when the client is sleeping:
Minimizing disturbances, including limiting visitors during rest time, supports better sleep hygiene and helps with insomnia.
C. Keep the door to the client's room open:
An open door can allow noise and light to enter, disrupting sleep.
D. Spread client care activities throughout the shift:
Consolidating care activities helps reduce interruptions, which promotes rest and sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place the head of the client's bed flat:
The head of the bed should be elevated to prevent discoloration from blood pooling in the face (livor mortis).
B. Remove the client's dentures:
Dentures should be left in if possible to maintain the shape of the face, especially if family will view the body.
C. Increase the lights in the client's room:
Soft lighting is more appropriate; bright lighting is not necessary and may be distressing to the family.
D. Wash the client's body:
It is respectful and standard practice to cleanse the body, unless contraindicated by culture or religion.
Correct Answer is B
Explanation
A. Wear hard-soled shoes when caring for the client:
Hard-soled shoes can create noise and further disrupt the client’s sleep.
B. Restrict visitors when the client is sleeping:
Minimizing disturbances, including limiting visitors during rest time, supports better sleep hygiene and helps with insomnia.
C. Keep the door to the client's room open:
An open door can allow noise and light to enter, disrupting sleep.
D. Spread client care activities throughout the shift:
Consolidating care activities helps reduce interruptions, which promotes rest and sleep.
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