A nurse is instructing a young adult client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
I don't take naps throughout the day."
I have a small snack and take a bath before going to bed each day."
I go to bed and get up routinely at the same time each day."
I watch tevision until I fall asleep at night."
The Correct Answer is D
A) "I don't take naps throughout the day": This statement indicates a good sleep habit, as avoiding daytime naps can help promote better sleep at night.
B) "I have a small snack and take a bath before going to bed each day": This statement suggests a bedtime routine, which can be beneficial for promoting relaxation and signaling the body that it's time to sleep.
C) "I go to bed and get up routinely at the same time each day": Consistency in sleep schedule is an essential aspect of healthy sleep habits, as it helps regulate the body's internal clock and promotes better sleep quality.
D) "I watch television until I fall asleep at night": This statement indicates a poor sleep habit. Screen time before bedtime, especially from devices like televisions, computers, or smartphones, can interfere with the body's natural sleep-wake cycle and make it harder to fall asleep. The blue light emitted by screens can suppress the production of melatonin, a hormone that regulates sleep, leading to difficulty falling asleep and poor sleep quality. Therefore, this statement suggests a need for further teaching about avoiding screen time before bedtime to promote better sleep hygiene.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Administer and teach about medications to suppress stage III sleep:
Suppressing stage III sleep is not a primary intervention for sleepwalking and could potentially disrupt the client’s overall sleep quality.
B) Encourage the child to verbalize feelings regarding sleep pattern:
While understanding feelings about sleep patterns may be helpful, it is not the immediate priority in managing sleepwalking.
C) Provide a quiet environment for nighttime sleep:
A quiet environment is generally beneficial for good sleep hygiene but does not directly address the safety concerns associated with sleepwalking.
D) Maintain patient safety during episodes of somnambulism:
Ensuring the client’s safety is the primary focus. Sleepwalking can lead to accidents or injuries; therefore, implementing safety measures to prevent harm during episodes of somnambulism is crucial. This may include securing the environment, using safety gates, and ensuring the client’s immediate surroundings are safe.
Correct Answer is B
Explanation
A) 41-year-old with hypernatremia:
Hypernatremia refers to elevated levels of sodium in the blood. While hypernatremia can lead to dehydration and electrolyte imbalances, it does not directly correlate with an increased risk of hypomagnesemia.
B) 72-year-old with chronic alcoholism:
Chronic alcoholism is a significant risk factor for hypomagnesemia. Alcohol abuse can lead to poor dietary intake of magnesium, increased renal excretion of magnesium, and impaired absorption of magnesium in the gastrointestinal tract, all contributing to magnesium deficiency.
C) 79-year-old with bone cancer:
Bone cancer does not inherently increase the risk of hypomagnesemia. However, depending on the treatment modalities and disease progression, the client may be at risk for other electrolyte imbalances or complications associated with bone cancer.
D) 46-year-old with respiratory acidosis:
Respiratory acidosis refers to an acid-base imbalance characterized by elevated levels of carbon dioxide in the blood due to impaired ventilation. While respiratory acidosis can lead to electrolyte imbalances, particularly potassium imbalances, it is not directly linked to hypomagnesemia.
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