A nurse is teaching about methods to promote sleep to a client who has insomnia. Which of the following statements should the nurse make?

"Perform 20 minutes of cardiovascular exercise 1 hour before bedtime."

"Avoid eating heavy meals 3 hours before bedtime."

"If you are unable to sleep, wait 1 hour before trying a quiet activity."

"Avoid caffeinated beverages 2 hours prior to bedtime."

Answer and Explanation

The Correct Answer is B

A. "Perform 20 minutes of cardiovascular exercise 1 hour before bedtime.” Exercise promotes sleep, but performing it too close to bedtime can be stimulating and interfere with falling asleep. It is better to complete vigorous activity at least 2–3 hours before bedtime.

B. "Avoid eating heavy meals 3 hours before bedtime." Heavy meals close to bedtime can cause discomfort, indigestion, or reflux, disrupting sleep. Avoiding such meals for at least 3 hours helps promote more restful and uninterrupted sleep.

C. "If you are unable to sleep, wait 1 hour before trying a quiet activity." It is not recommended to stay in bed for an extended time if unable to sleep. A quiet activity should be initiated within 20 minutes to avoid associating the bed with wakefulness.

D. "Avoid caffeinated beverages 2 hours prior to bedtime." Caffeine can disrupt sleep and should generally be avoided at least 6 hours before bedtime, depending on individual sensitivity, as its effects can be long-lasting.

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Correct Answer is ["A","D"]

Explanation

A. Fetal heart rate:A fetal heart rate of 165/min is at the upper limit of normal (110–160/min). Persistent fetal tachycardia may indicate fetal distress, especially when associated with meconium-stained amniotic fluid. This requires close monitoring to assess for worsening signs of compromise.

B. Duration of contraction:A contraction lasting 40 seconds is within normal limits (30–70 seconds during active labor). This finding does not require immediate follow-up and is consistent with expected labor progression.

C. Fetal station:A station of 0 means the fetal head is at the level of the ischial spines, which is normal for a cervix dilated to 4 cm. It does not indicate any urgent concern and aligns with the expected descent during early active labor.

D. Characteristics of amniotic fluid:Greenish amniotic fluid suggests meconium-staining, which can indicate fetal distress and raises concern for meconium aspiration syndrome. Immediate follow-up is necessary to evaluate fetal well-being and plan for potential neonatal resuscitation.

E. Blood pressure:A blood pressure of 128/84 mm Hg is within normal limits, even in a client with a history of chronic hypertension. It does not represent an acute concern and does not require urgent intervention.

A. Increased glucose level B. Decreased lactic acid level C. Increased protein level D. Decreased WBC count

Correct Answer is C

Explanation

A. Increased glucose level: CSF glucose levels are typically normal in multiple sclerosis. An increase in glucose is more commonly associated with systemic hyperglycemia or specific infections, not demyelinating diseases like MS.

B. Decreased lactic acid level: A decreased lactic acid level is not a characteristic finding in multiple sclerosis. Lactic acid in CSF is more relevant in differentiating types of infections, such as bacterial versus viral meningitis.

C. Increased protein level: Elevated protein in the CSF is a common finding in multiple sclerosis, often due to increased immunoglobulin production and the presence of oligoclonal bands, reflecting immune system activity in the CNS.

D. Decreased WBC count: While a mild increase in WBC count may be seen in MS, a decreased WBC count is not typical or diagnostic of the disease. Leukocyte levels in CSF are usually normal or slightly elevated in MS.

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A nurse is teaching about methods to promote sleep to a client who has insomnia. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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