A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
"I will have a cup of hot cocoa immediately before bedtime."
I will no longer have a glass of wine before bedtime."
"I will walk briskly for 30 minutes before bedtime."
"I will do my muscle relaxation techniques each afternoon."
The Correct Answer is B
A. Consuming hot cocoa, especially if it contains caffeine or sugar, is generally not advisable before bedtime. Caffeine is a stimulant that can interfere with the ability to fall asleep, and sugar can lead to disruptions in sleep. Even if the hot cocoa is caffeine-free, having a liquid right before bed can cause frequent awakenings during the night.
B. Alcohol can initially make a person feel drowsy, but it often disrupts sleep patterns later in the night, leading to poorer quality sleep. Reducing or eliminating alcohol consumption before bedtime can improve sleep quality and promote better rest.
C. While regular physical activity is beneficial for sleep, exercising too close to bedtime can actually be stimulating and make it harder to fall asleep. It is generally recommended to complete vigorous exercise at least 2-3 hours before going to bed to avoid interfering with sleep.
D. Muscle relaxation techniques, such as progressive muscle relaxation, are effective for reducing stress and improving sleep quality. However, performing these techniques in the afternoon is less beneficial compared to doing them closer to bedtime.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decreasing gastric acid secretions is not the primary mechanism of action for metoclopramide. This action is more characteristic of medications like proton pump inhibitors (PPIs) or H2 receptor antagonists, which reduce stomach acid to help with conditions such as GERD or peptic ulcers.
B. Promoting gastric emptying is the correct explanation for how metoclopramide relieves nausea. Metoclopramide acts as a prokinetic agent, meaning it enhances gastrointestinal motility by increasing the movement of the stomach and intestines.
C. Slowing peristalsis is not the mechanism of action for metoclopramide. In fact, metoclopramide does the opposite by increasing peristalsis and gastrointestinal motility. Slowing peristalsis would typically exacerbate nausea and lead to delayed gastric emptying, which metoclopramide aims to counteract.
D. Relaxing gastric muscles is not how metoclopramide works. Metoclopramide’s primary action is to increase gastrointestinal motility rather than relaxing the gastric muscles. Other medications, such as antispasmodics, might be used to relax gastrointestinal muscles, but metoclopramide is not used for this purpose.
Correct Answer is D
Explanation
A. The correct technique for using a cane involves moving the weak leg first, followed by the strong leg. The cane should be moved forward with the weak leg to provide support and balance, followed by the stronger leg to propel the client forward. This helps to ensure stability and reduces the risk of falling.
B. The cane should be held on the strong side of the body. The rationale is that the cane provides additional support to the weak side, which helps to improve balance and stability while walking. Holding the cane on the strong side allows the cane to bear more weight and support the weaker leg effectively.
C. The height of the cane grip should be adjusted so that it is level with the client’s wrist when the arm is at their side. This positioning helps ensure proper arm alignment and comfort, allowing for effective use of the cane during ambulation.
D. The proper technique involves moving the cane forward first, followed by the weak leg, and then the strong leg. Moving the cane forward first provides immediate support and stability for the weak leg, helping to maintain balance and prevent falls.
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