A nurse is caring for a client who reports that she has insomnia.

Which of the following interventions is appropriate for the nurse to recommend?

Eat a light carbohydrate snack before bedtime.

Take a 30-min nap daily.

Drink a cup of hot cocoa before bedtime.

Exercise 1 hr before bedtime.

Answer and Explanation

The Correct Answer is A

Eating a light carbohydrate snack before bedtime can help promote sleep by increasing the level of tryptophan in the brain.
Choice B is wrong because taking a 30-min nap daily can disrupt nighttime sleep and worsen insomnia.
Choice C is wrong because drinking a cup of hot cocoa before bedtime can interfere with sleep due to its caffeine content.
Choice D is wrong because exercising 1 hr before bedtime can increase alertness and make it more difficult to fall asleep.

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Correct Answer is D

Explanation

Step 1: Calculate the total fluid intake. The client received 0.9% sodium chloride 600 mL IV infusion and cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus. So, the total fluid intake is 600 mL + 100 mL = 700 mL.

Step 2: Calculate the total fluid output. The client had 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. So, the total fluid output is 200 mL + 40 mL + 20 mL = 260 mL.

Step 3: Calculate the net fluid intake. The net fluid intake is the total fluid intake minus the total fluid output. So, the net fluid intake is 700 mL - 260 mL = 440 mL.

Therefore, the nurse should record the net fluid intake as 440 mL.

A. Heightened sense of pain. B. Increased nighttime sleeping. C. Decreased sense of balance. D. Nighttime urinary incontinence.

Correct Answer is C

Explanation

As people age, they may experience a decrease in their sense of balance. This can increase the risk of falls and injuries.
Choice A is wrong because older adults may actually have a decreased sense of pain.
Choice B is wrong because older adults may experience changes in their sleep patterns, including difficulty falling asleep or staying asleep.
Choice D is wrong because while urinary incontinence can be a common issue among older adults, it is not limited to nighttime.

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A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?

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Naxlex Comprehensive Predictor Exams

How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?

Correct Answer is D

Explanation

What findings should the nurse expect when assessing an older adult client?

Correct Answer is C

Explanation

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A nurse is caring for a client who reports that she has insomnia.

Which of the following interventions is appropriate for the nurse to recommend?