Which statement made by a client experiencing insomnia indicates a need for further education by the nurse? "I
set my bedroom temperature at 65 degrees at night."
like to take a long walk at about 3:00 PM every day."
used to pay my bills in bed. but I don't anymore."
drink a few scotch and sodas while I watch TV at night before I go to sleep."
The Correct Answer is D
D. Consuming alcoholic beverages, especially close to bedtime, can disrupt sleep patterns and exacerbate insomnia. While alcohol may initially have a sedative effect and induce drowsiness, it can lead to fragmented and poor-quality sleep later in the night, resulting in worsened insomnia symptoms. Therefore, this statement indicates a need for further education by the nurse regarding the negative impact of alcohol consumption on sleep and the importance of avoiding alcohol before bedtime to improve sleep quality.
A. Keeping the bedroom cool (around 65 degrees Fahrenheit) is generally recommended for promoting sleep because a cooler temperature can help facilitate the body's natural temperature drop, which occurs during sleep onset.
B. Engaging in regular physical activity, such as taking a long walk during the day, can be beneficial for promoting better sleep. Physical activity during the day can help regulate the sleep-wake cycle, reduce stress, and improve overall sleep quality. Therefore, this statement reflects a positive sleep hygiene practice and does not indicate a need for further education.
C. This statement suggests an understanding of the importance of associating the bed with sleep and avoiding activities that may interfere with sleep, such as paying bills or working in bed. Maintaining the bed as a place primarily for sleep and intimacy can help condition the mind and body to associate the bed with relaxation and sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Isotonic solutions have a similar osmolarity to that of blood plasma, meaning they exert the same osmotic pressure as blood. This equilibrium prevents the movement of water across cell membranes, thereby maintaining cell volume and preventing cellular dehydration or swelling. Examples of isotonic solutions commonly used for intravenous fluid replacement include 0.9% saline (normal saline) and lactated Ringer's solution.
B. Hypotonic solutions have a lower osmolarity than blood plasma, meaning they exert less osmotic pressure than blood. When administered, hypotonic solutions cause water to move into cells, leading to cellular swelling. While hypotonic solutions can help hydrate cells and replenish intracellular fluid, they are not typically used for rapid volume replacement because they can exacerbate extracellular fluid deficits and cause complications such as cerebral edema or cardiovascular collapse.
C. Hypertonic solutions have a higher osmolarity than blood plasma, meaning they exert greater osmotic pressure than blood. When administered, hypertonic solutions cause water to move out of cells, leading to cellular shrinkage. Hypertonic solutions are often used to expand intravascular volume in cases of severe hypovolemia or shock, as they rapidly increase blood osmolarity and draw fluid from the interstitial space into the bloodstream. Examples of hypertonic solutions include 3% saline and 5% dextrose in 0.9% saline.
D. Hyperosmotic solutions have an elevated osmolarity compared to blood plasma, indicating a higher concentration of solutes. These solutions exert osmotic pressure that draws water out of cells, leading to cellular dehydration. While hyperosmotic solutions are not commonly used for rapid volume replacement due to their pot
Correct Answer is A
Explanation
A. Hypnotic drugs are primarily used to induce sleep or promote sleepiness. They act on the central nervous system to depress its activity, leading to sedation and ultimately sleep. These drugs are commonly prescribed to treat insomnia or to induce anesthesia for surgical procedures.
B. While some hypnotic drugs can cause a stupor-like state, inducing a state of reduced consciousness or awareness, this is not the primary function of all hypnotic medications. Stupor typically refers to a state of extreme lethargy or mental dullness, which may be induced by certain drugs but is not inherent to the classification of hypnotics.
C. Hypnotic drugs are not primarily intended to affect pain. While some hypnotic medications may have analgesic properties, their primary function is to induce sleep or sedation rather than directly targeting pain relief. Pain relief is typically achieved through the use of analgesic medications such as opioids, NSAIDs, or other pain relievers.
D. Hypnotic drugs do not mimic the state of hypnosis induced by techniques such as hypnotherapy. While both hypnosis and hypnotic drugs can alter consciousness, they work through different mechanisms
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