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A nurse is caring for a patient who suffers from a sleep pattern disturbance. To promote adequate sleep, what are the most appropriate nursing interventions? (Select the correct answers)

Straighten and change any soiled bed linens

Synchronize the schedule for medications and vital signs.

Administer sleep aids came time at night when needed.

Provide personal hygiene in the morning instead of before bedtime

Assist the patient to use the toilet before bed

Answer and Explanation

Correct Answer : A,B,C,E

A. Straighten and change any soiled bed linens – Promotes comfort and relaxation.

B. Synchronize schedule for meds and vitals – Reduces nighttime disturbances.

C. Administer sleep aids at same time at night when needed – Promotes consistent sleep routine.

D. Provide hygiene in the morning instead of before bedtime – Evening hygiene (e.g., warm bath) can help induce sleep.

E. Assist to use the toilet before bed – Prevents nocturia and sleep disruption.

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Correct Answer is D

Explanation

a. tachycardia:
While tachycardia may occur earlier, as death nears, the heart rate typically slows and becomes weak and irregular.

b. moist mucous membranes:
At the end of life, dehydration is common, often leading to dry mucous membranes.

c. hypertension:
Blood pressure usually drops near death due to reduced cardiac output and circulatory collapse.

d. irregular respirations:
Cheyne-Stokes breathing (irregular breathing with apnea) is a hallmark of impending death.

A. “This is not working, and I plan to stop treatment.” B. “I am hoping this will help relieve my discomfort.” C. “I am thinking of getting a second opinion.” D. “This is making me stronger every day.”

Correct Answer is B

Explanation

A. “This is not working, and I plan to stop treatment.”: This shows frustration but not necessarily understanding or acceptance of prognosis.

B. “I am hoping this will help relieve my discomfort.”: This statement reflects the goal of palliative care, which is comfort-focused, and shows understanding of the approach.

C. “I am thinking of getting a second opinion.”: Suggests continued hope for a cure, not acceptance.

D. “This is making me stronger every day.”: Indicates a misunderstanding of the intent of palliative care, which is not curative.

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A nurse is caring for a patient who suffers from a sleep pattern disturbance. To promote adequate sleep, what are the most appropriate nursing interventions? (Select the correct answers)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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