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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased respiratory rate: Naloxone reverses the effects of opioid-induced respiratory depression. An increase in respiratory rate is a key indicator that the medication is working, as opioids like heroin can severely depress respiratory function, leading to fatal outcomes.
B. Polyuria: Increased urine output is not a typical response to opioid overdose or naloxone administration. Polyuria is more commonly associated with conditions like diabetes or diuretic use and does not indicate improvement in opioid toxicity.
C. Decreased temperature: Hypothermia can be seen in opioid overdose, but a drop in temperature after naloxone is administered is not a sign of recovery. In fact, body temperature is expected to normalize or rise as consciousness and circulation improve.
D. Bradycardia: Opioid overdose may lead to bradycardia, but improvement is typically marked by a return to a normal or slightly elevated heart rate. Persistent bradycardia after naloxone administration would be a concern rather than a sign of reversal.
Correct Answer is B
Explanation
A. Remove the newborn's diaper: This may increase the risk of skin irritation or contamination from stool and urine. A better approach is to expose as much skin as possible while protecting the genital area appropriately.
B. Close the newborn's eyes before applying the mask: Closing the eyes before applying the phototherapy mask helps prevent eye damage from the intense light. It ensures that the eye pads stay properly positioned and prevents drying, irritation, or corneal injury.
C. Feed the newborn 1 oz (30 mL) of glucose water after feedings: Frequent breastfeeding or formula feeding is preferred to promote bowel movements and bilirubin excretion. Glucose water may also displace essential nutrients from milk and is not recommended.
D. Apply a moisturizing lotion to the newborn's skin: Lotions or ointments should be avoided during phototherapy because they can absorb heat from the light and lead to burns or skin irritation. The newborn’s skin should be kept clean and dry without topical products.
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