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. High-calorie, high-protein supplements are typically not clear liquids and may be too heavy.
B. Hot cereals and ice cream are not clear liquids; chocolate milk is opaque.
C. Milk and egg substitutes are opaque and not part of a clear liquid diet.
D. Gelatin desserts, carbonated beverages, and apple juice are clear liquids that are transparent and allowed on a clear liquid diet.
Correct Answer is C
Explanation
A. Pneumonia typically causes acute pain or discomfort, not chronic pain.
B. Controlled hypertension does not generally cause pain.
C. Rheumatoid arthritis is a chronic inflammatory condition that often causes persistent, chronic pain.
D. The flu causes acute symptoms, including pain, but this is usually short-term, not chronic.
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