Which statement, if made by a client diagnosed with sleep disturbance, should a nurse evaluate as correct understanding of the plan of care to improve sleep patterns?

“I am allowing myself to sleep in most mornings.”.

“I’m getting more work done on my computer before going to bed.”.

“I have limited my alcohol intake before bedtime.”.

“I watch television for 1 hour before sleeping.”.

Answer and Explanation

The Correct Answer is C

“I have limited my alcohol intake before bedtime.”. This statement shows that the client understands that alcohol can interfere with sleep quality and quantity. Alcohol can disrupt the normal sleep cycle and cause frequent awakenings, nightmares, or insomnia.

Choice A is wrong because sleeping in most mornings can disrupt the regular sleep schedule and make it harder to fall asleep at night. It is better to keep a consistent bedtime and wake time, even on weekends.

Choice B is wrong because working on the computer before going to bed can expose the client to blue light, which can suppress the production of melatonin, a hormone that regulates sleep. It is better to avoid screens and other stimulating activities at least an hour before bedtime.

Choice D is wrong because watching television for 1 hour before sleeping can also expose the client to blue light and interfere with sleep onset. It is better to engage in relaxing activities such as reading, listening to soothing music, or meditating before sleeping.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Palms, soles and nails.

Melanoma is a type of skin cancer that can develop in any color skin, including dark or black skin.

However, melanoma on dark skin is not related to sun exposure and can start in places that get little sun. That includes the palms of your hands, soles of your feet, nails, and inside your mouth, anal, and genital areas.

Choice A is wrong because eyes, ears, lips, and scalp are not common areas for melanoma in people of color.

Choice C is wrong because head, neck and trunk are more likely to be affected by sun exposure and other types of skin cancer than melanoma in people of color.

Choice D is wrong because lower legs and back are also more exposed to sun and other types of skin cancer than melanoma in people of color.

A. Continue to observe the client. B. Ask the client to describe the discomfort. C. Encourage the client to progressively relax all muscle groups. D. Administer the prescribed analgesic and document the client’s response.

Correct Answer is B

Explanation

Ask the client to describe the discomfort. This is the best action to establish a nursing diagnosis of pain related to an abdominal incision because it allows the nurse to assess the location, intensity, quality, and duration of the pain, as well as any factors that aggravate or relieve it.

This information can help the nurse to plan appropriate interventions and evaluate their effectiveness.

Choice A. Continue to observe the client is wrong because it does not address the client’s pain or communicate empathy. The nurse should not ignore or minimize the client’s pain, but rather acknowledge it and offer assistance.

Choice C. Encourage the client to progressively relax all muscle groups is wrong because it is a nonpharmacological intervention that may help to reduce pain, but it does not establish a nursing diagnosis of pain. The nurse should first assess the client’s pain before implementing any interventions.

Choice D. Administer the prescribed analgesic and document the client’s response is wrong because it is a pharmacological intervention that may help to relieve pain, but it does not establish a nursing diagnosis of pain. The nurse should first assess the client’s pain before administering any medications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which statement, if made by a client diagnosed with sleep disturbance, should a nurse evaluate as correct understanding of the plan of care to improve sleep patterns?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which areas should the nurse teach a dark-skinned client to inspect regularly for skin cancer like melanoma?

Correct Answer is B

Explanation

For a client who is crying and seems agitated after major abdominal surgery, which action should a nurse take to establish a nursing diagnosis of pain related to an abdominal incision?

Correct Answer is B

Explanation

A nurse is attempting to use non-pharmacological treatment for pain control. Which treatment could the nurse delegate to the UAP?

When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

Which nursing diagnosis is priority for a client who has had vomiting and diarrhea for the past three days?

Which meal selection best demonstrates a client with osteoporosis understands dietary recommendations?

A client who is taking warfarin has an international normalized ratio (INR) of 0.8. Which question should a nurse ask to further evaluate the client?

A nurse is performing a health history. What communication techniques should the nurse use? Select all that apply.

Which intervention should the nurse include while caring for a client who has been diaphoretic for the past six hours?

Which nursing action is most important after administering nitroglycerin sublingually?