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?

Take a 1-hr nap during the day.

Perform exercises prior to bedtime.

Eat a light snack before bedtime.

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

Answer and Explanation

The Correct Answer is C

A. Incorrect. Napping for an hour during the day can disrupt nighttime sleep.

B.   Incorrect. Exercising prior to bedtime can stimulate the body and interfere with falling asleep.
C.   Correct. Eating a light snack before bedtime can help prevent waking due to hunger during the night.
D.   Incorrect. Staying in bed if unable to fall asleep can lead to frustration and associating the bed with wakefulness.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

A. Administer oxytocin. (This is unanticipated as the client is experiencing contractions, and oxytocin might not be needed at this point.)
D. Limit fluid intake to 3,000 mL/day. (Fluid restriction might not be necessary based on the provided notes.)
F. Place client in supine position. (The supine position is generally avoided during pregnancy due to potential compression of the vena cava.)

A. Capillary glucose 198 mg/dL. B. Serum albumin 3.9 g/dL. C. Hgb 15.6 g/dL. D. WBC 7,000/mm.

Correct Answer is A

Explanation

Choice A rationale:

A capillary glucose level of 198 mg/dL in a client receiving total parenteral nutrition (TPN) suggests hyperglycemia, which is a common complication of TPN. TPN solutions are high in glucose, and clients receiving TPN are at risk of developing hyperglycemia. Regular monitoring of blood glucose levels is necessary to detect and manage hyperglycemia promptly.

Choice B rationale:

Serum albumin level of 3.9 g/dL is within the normal range (3.5-5.5 g/dL) and does not indicate a complication of TPN. Low serum albumin levels could suggest malnutrition or liver disease, but in this case, the level is normal.

Choice C rationale:

Hemoglobin (Hgb) level of 15.6 g/dL is within the normal range for both men and women, indicating an adequate oxygen-carrying capacity of the blood. This result does not suggest a complication related to TPN.

Choice D rationale:

White blood cell (WBC) count of 7,000/mm³ is within the normal range (4,500-11,000/mm³) and does not indicate a complication of TPN. Elevated WBC count could suggest an infection, but in this case, the count is normal.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

A nurse is reviewing the laboratory results of a client who is receiving total parenteral nutrition.Which of the following results should the nurse identify as an indication that the client has developed a common complication of this nutritional therapy?

Correct Answer is A

Explanation

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