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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Urinary urgency refers to a sudden, compelling need to urinate, which may or may not be accompanied by frequency (i.e., the need to urinate often). Urgency alone does not necessarily indicate urinary incontinence but rather may suggest conditions like overactive bladder or urge incontinence. This finding is not the most characteristic sign of urinary incontinence but rather a symptom of specific types of incontinence or bladder conditions.
B. Loss of urine when laughing, coughing, or sneezing is indicative of stress urinary incontinence. This type of incontinence occurs when physical activities that increase abdominal pressure (such as coughing, sneezing, or laughing) lead to involuntary leakage of urine. It is a common and classic symptom of stress urinary incontinence.
C. Urinary hesitancy refers to difficulty starting the urine stream or a delay in beginning urination. This symptom is more commonly associated with obstructive urinary conditions or prostatic issues in males rather than incontinence. It does not typically characterize urinary incontinence, which is more related to involuntary leakage rather than difficulties initiating urination.
D. Hematuria is the presence of blood in the urine and can be a sign of various urological issues such as infections, stones, or tumors. It is not a typical finding associated with urinary incontinence, which involves involuntary leakage rather than the presence of blood.

A. Two nurses using a friction-reducing device B. One nurse lifting as the client pushes with his feet C. Two nurses lifting the client under the shoulders D. One nurse lifting the client's legs as the client uses a trapeze bar

Correct Answer is A

Explanation

A. Using a friction-reducing device, such as a slide sheet or transfer sheet, is a recommended method for moving clients with partial assistance needs. The device reduces friction, making it easier and safer to reposition or move the client with minimal physical strain. Two nurses working together with a friction- reducing device can effectively and safely move the client while minimizing the risk of injury for both the client and the nurses.
B. This method is not ideal for moving clients who have limited mobility or who are only partially able to assist. Relying on the client to push with their feet while the nurse lifts can be unsafe and ineffective,
especially if the client’s strength or coordination is compromised.
C. Lifting a client under the shoulders can be uncomfortable and potentially harmful for the client, especially if they have limited mobility or if proper body mechanics are not used. This method also places significant strain on the nurses’ backs and may lead to injury.
D. A trapeze bar can be a helpful aid for clients who have some upper body strength and can assist with repositioning. However, relying solely on one nurse to lift the client’s legs while the client uses the trapeze bar may not provide adequate support for a complete and safe repositioning.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient presents with urinary incontinence. Which of the following expected findings would the nurse most likely assess?

Correct Answer is B

Explanation

A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following methods should the nurse plan to use?

Correct Answer is A

Explanation

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