The home health nurse is visiting an older adult client whose caregiver reports that the client has been anxious and disoriented in the morning. The caregiver also informs the nurse that the client gets up frequently to use the bathroom during the night. The client's current medications include hydralazine 75 mg by mouth daily, furosemide 40 mg by mouth daily, and potassium chloride 20 mEq by mouth daily. Which recommendation will the nurse provide the caregiver to decrease the disruption of sleep?
Offer the client iced tea before bed.
Suggest the client sleep without socks.
Have the client take a diuretic in the morning.
Encourage the client to take frequent naps during the day
The Correct Answer is C
A. Offering iced tea before bed is not appropriate because tea contains caffeine, which can further disrupt sleep.
B. Sleeping without socks has no relevance to sleep disruption related to nocturia (frequent urination at night).
C. Having the client take a diuretic (furosemide) in the morning is the most appropriate intervention. Diuretics increase urine output, and taking them later in the day can lead to nocturia, which disrupts sleep and may contribute to confusion or disorientation in older adults.
D. Encouraging frequent naps during the day can interfere with the client’s nighttime sleep pattern, potentially worsening insomnia or nighttime disorientation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. With regional anesthesia, the client is awake and aware of the procedure but does have sensation blocked.
B. Regional anesthesia does not put the client to sleep; feeling pain during the procedure indicates inadequate anesthesia.
C. Being asleep and unaware describes general anesthesia, not regional anesthesia.
D. Regional anesthesia numbs a specific area of the body, so the client remains awake but does not feel sensation in the targeted region during the procedure.
Correct Answer is A
Explanation
A. Faith involves trust or confidence in a person, idea, or system, such as a traditional healer.
B. Spirituality is a broader concept related to a sense of connection or meaning, not specifically confidence in a healer.
C. Hope refers to a positive expectation for the future, not necessarily linked to confidence in a particular person.
D. Charity involves giving or kindness, which is not relevant to the client’s expression of confidence.
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