A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?

Eat a light snack before bedtime.

Perform exercises prior to bedtime.

Stay in bed at least 1 hr if unable to fall asleep.

Take a 1-hr nap during the day.

Answer and Explanation

The Correct Answer is A

A.   Eating a light snack before bedtime can help promote sleep by preventing hunger- related awakenings without causing discomfort or indigestion.
B.   Performing exercises prior to bedtime may increase alertness and make it more difficult to fall asleep.
C.   Remaining in bed for extended periods if unable to fall asleep can worsen insomnia by reinforcing the association between the bed and wakefulness.
D.   Taking a long nap during the day can disrupt nighttime sleep patterns and make it more difficult to fall asleep at night.

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Correct Answer is B

Explanation

A. Informing the client that their name cannot be removed once listed may deter individuals from considering organ donation. In reality, individuals can update or revoke their consent at any time.
B. Organ donation requires documented consent, either through advance directives or donor registry enrollment. Verbal consent alone is not sufficient. The nurse should educate the client about the importance of documenting their wishes regarding organ donation.
C. Declaring that the nurse cannot be a witness for consent is inaccurate. Witnesses may be required depending on local regulations, but healthcare professionals can serve as witnesses.
D. Specifying a minimum age requirement for organ donation is incorrect. Organ donation eligibility depends on various factors beyond age, such as overall health and the condition of organs at the time of death.

A. Maintain eye contact with the newborn during feedings. B. Minimize noise in the newborn's environment. C. Administer naloxone to the newborn. D. Swaddle the newborn with his legs extended.

Correct Answer is B

Explanation

A. While maintaining eye contact during feedings can foster bonding and comfort, it is not specifically beneficial for managing symptoms of neonatal abstinence syndrome (NAS).
B. Minimizing noise in the newborn's environment is crucial for a baby with NAS. These infants often have increased sensitivity to stimulation and can become easily agitated. A quiet, calming environment can help soothe them.
C. Administering naloxone to a newborn with NAS is not recommended. Naloxone is an opioid antagonist and, while it can reverse opioid effects acutely, it is not a treatment for the withdrawal symptoms associated with NAS.
D. Swaddling the newborn is beneficial, but the legs should not be extended.

Swaddling should allow for some movement of the legs and hips to prevent the development of hip dysplasia. Swaddling in a way that allows the legs to bend and move is generally recommended.

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Body Systems	Findings
Head, Eyes, Ears, Nose, and Throat (HEENT)	Yellowing of the eyes Blurred vision Dry eyes
Gastrointestinal	Abdominal pain Hard stool
Hematologic	Increased bruising Increased bleeding tendency Insomnia
Genitourinary	Red/orange tint to urine Darkening of the urine

A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?

Correct Answer is B

Explanation

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