The nurse is educating a client with insomnia how to promote better sleep. Which interventions should she include for this client? (Select all that apply).
Enjoy a glass of wine before bed.
Do not exercise at least one hour prior to sleep.
Go to bed at the same time every evening.
Read a book 30 minutes before bedtime.
Do not take naps during the day.
Correct Answer : B,C,E
These interventions are based on the principles of sleep hygiene and cognitive behavioral therapy for insomnia (CBT-I), which are evidence-based strategies to promote better sleep.
Choice A is wrong because alcohol can disrupt sleep quality and cause frequent awakenings during the night. It can also interfere with the normal sleep cycle and reduce REM sleep.
Choice D is wrong because reading a book 30 minutes before bedtime can be stimulating and make it harder to fall asleep. It can also violate the stimulus control therapy, which aims to associate the bed only with sleep and sex and avoid any other activities that may keep the mind alert.
Some additional sentences are:
- Normal ranges for sleep vary depending on age, lifestyle, and individual factors, but generally adul,ts need about 7 to 9 hours of sleep per night.
- Insomnia is a common sleep disorder that affects about 10% to 30% of adults and can have negative impacts on physical and mental health, as well as quality of life.
- If insomnia persists despite following these interventions, it is advisable to consult a doctor or a sleep specialist for further evaluation and treatment options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is because the recovery position helps maintain the airway and prevent aspiration, and loosening the necktie prevents breathing restriction.
The other choices are wrong because:
Choice A is wrong because placing a stick or any object in the person’s mouth can cause injury to the teeth, gums, tongue or jaw and obstruct the airway. The person cannot swallow or bite their tongue during a seizure.
Choice B is wrong because recording the time of the seizure is not the first priority. The first priority is to ensure the safety and comfort of the person.
Choice C is wrong because restraining the limbs can cause injury or fracture, increase agitation and prolong the seizure. The nurse should protect the person from injury by moving furniture away and padding the head.
Normal ranges for seizure duration are usually less than 5 minutes for generalized tonic-clonic seizures and less than 15 seconds for absence seizures. If the seizure lasts longer than 5 minutes, or if the person has repeated seizures without regaining consciousness, it is considered a medical emergency and requires immediate treatment.
Correct Answer is D
Explanation
The question asks how many milligrams of the medication will be in 1 mL of D5W. To find this, we need to know the concentration of the medication in the solution.
Concentration is the amount of medication per unit volume of solution. We can use this formula:
Concentration = Mass / Volume
We know that 250 mg of the medication is diluted in 500 mL of D5W. So we can plug these values into the formula:
Concentration = 250 mg / 500 mL Simplifying, we get:
Concentration = 0.5 mg / mL
This means that there are 0.5 mg of the medication in every 1 mL of D5W. So the answer is
- To check our answer, we can use another formula:
Mass = Concentration x Volume
If we want to find the mass of the medication in 1 mL of D5W, we can multiply the concentration by the volume:
Mass = 0.5 mg / mL x 1 mL Simplifying, we get:
Mass = 0.5 mg
This matches our answer.
The other choices are wrong because they do not use the correct formula or values. Here is why:
Choice A is wrong because it uses the inverse of the concentration (1 / 0.5) instead of the concentration (0.5).
Choice B is wrong because it uses the mass of the medication (250 mg) instead of the concentration (0.5 mg / mL).
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