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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A nurse caring for a school-age child who has appendicitis should monitor for several manifestations of a perforated appendix and report to the provider. According to my sources, one of the major complications of appendicitis is the perforation of the appendix, which can lead to peritonitis, abscess formation, or portal pylephlebitis. Perforation generally occurs 24 hours after the onset of pain. Symptoms include a fever of 37.7⁰C or greater, a toxic appearance, and continued abdominal pain or tenderness.

B- Lethargy is not mentioned as a manifestation of a perforated appendix.

C- Decreased abdominal girth is not mentioned as a manifestation of a perforated appendix.

D- Bradycardia, which refers to a slower than normal heart rate, is also not mentioned as a manifestation of a perforated appendix.

A. Encourage the client to be assertive. B. Limit the client's social interactions. C. Maintain a verbal no-harm contract with the client. D. Assume responsibility for making the client's decisions.

Correct Answer is A

Explanation

Dependent personality disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior. When providing discharge teaching to the caregiver of a client with dependent personality disorder, it is important to promote the client's independence and self-empowerment. Encouraging the client to be assertive is an appropriate instruction because it promotes the development of self-advocacy skills and assertiveness, which can help the client gain confidence and reduce dependency on others.

limiting the client's social interactions in (option B) is incorrect because it, would not be an appropriate instruction. Restricting social interactions may further reinforce the client's dependency and hinder their ability to develop social skills and relationships.

maintaining a verbal no-harm contract with the client in (option C) is incorrect because it, is not specifically related to the management of dependent personality disorder. No-harm contracts are more commonly used in the context of managing self-harm or suicidal ideation, which may or may not be present in individuals with dependent personality disorder.

assuming responsibility for making the client's decisions in (option D) is incorrect because it, would further enable the client's dependency and undermine their autonomy. It is important to encourage the client to make their own decisions and take responsibility for their actions, within their capabilities.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who has appendicitis. For which of the following findings should the nurse monitor as a manifestation of a perforated appendix and report to the provider?

Correct Answer is A

Explanation

A nurse is reinforcing discharge teaching with the caregiver of a client who has dependent personality disorder. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

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