A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?
"Sleep longer hours on the weekend."
"Keep the television volume low while you are trying to fall asleep."
"Establish a daily exercise routine."
"Remain in bed until you fall asleep."
The Correct Answer is C
Regular physical exercise has been shown to promote better sleep. Engaging in daily exercise can help regulate the sleep-wake cycle, promote relaxation, reduce anxiety and stress, and increase overall sleep quality. It is important to note that exercise should ideally be done earlier in the day, at least a few hours before bedtime, as exercising too close to bedtime may actually have a stimulating effect and make it harder to fall asleep.
The other options listed are not the most appropriate recommendations for addressing difficulty in falling asleep:
1. "Sleep longer hours on the weekend." This suggestion may disrupt the client's sleep routine and can lead to inconsistent sleep patterns throughout the week, potentially making it more challenging to fall asleep on subsequent nights.
2. "Keep the television volume low while you are trying to fall asleep." It is generally recommended to create a sleep-friendly environment, which includes reducing external stimuli like noise, light, and electronic devices in the bedroom. However, watching television right before bedtime can interfere with sleep as the bright light and stimulating content can keep the mind awake.
3. "Remain in bed until you fall asleep." This recommendation may contribute to increased frustration and anxiety if the client is unable to fall asleep quickly. It is generally advised to practice good sleep hygiene, which includes getting out of bed if unable to fall asleep after a reasonable amount of time and engaging in a relaxing activity until feeling sleepy again.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Furosemide works by promoting diuresis, which helps to reduce fluid volume overload in heart failure. Increased urinary output indicates that the medication is effectively removing excess fluid from the body. This can help alleviate symptoms such as edema and fluid retention commonly associated with heart failure. Therefore, an increased urinary output is a positive response to furosemide therapy in this context.
Decreased BUN (blood urea nitrogen) levels and weight loss are also expected outcomes of diuretic therapy, further indicating the effectiveness of the medication. However, a decreased hemoglobin level is not directly related to the efficacy of furosemide and might be indicative of other factors such as anemia or bleeding, requiring further assessment and intervention.
Correct Answer is D
Explanation
Swelling of the lips
The nurse should reinforce with the client that the epinephrine auto-injector can help treat swelling of the lips. Epinephrine is a medication commonly used to treat severe allergic reactions, also known as anaphylaxis. Swelling of the lips is one of the hallmark manifestations of an allergic reaction.
Epinephrine acts quickly to reverse the allergic response by constricting blood vessels, relaxing smooth muscles, and reducing swelling and inflammation.
Nausea in (option A) is incorrect: Nausea can have various causes, and epinephrine is not specifically indicated for treating this symptom.
Hyperglycemia in (option B) is incorrect: Epinephrine can potentially increase blood glucose levels, so it is not used to treat hyperglycemia.
Hand tremors in (option C) is incorrect: Epinephrine can cause tremors as a side effect, so it is not used to treat hand tremors.
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