To promote sleep hygiene, a nurse should encourage a client with posttraumatic stress disorder (PTSD) to incorporate which of the following strategies into his routine? Select all that apply
A) Go to bed at a regular time nightly.
B) Sleep in during the mornings when he had a restless night of sleep.
C) Avoid drinking alcohol before bedtime.
D) Enjoy a cup of caffeinated tea in the midafternoon if he gets sleepy.
E) Exercise within 2 hours of bedtime to make him tired and enable him to fall to sleep faster.
Ans: A, C
Some persons with PTSD find that they cannot sleep in their bed but can sleep in a chair. Some of the following strategies may be helpful: Establish and maintain a regular bedtime and rising time. Avoid naps. Abstain from alcohol. (Although alcohol may assist with sleep onset, an alerting effect occurs when it wears off.) Refrain from caffeine after midafternoon. Avoid nicotine before bedtime and during the night. Caffeine and nicotine are strong stimulants and cause fragmented sleep. Exercise regularly, avoiding the 3 hours before bedtime.
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A) Peripheral catheter B) Nontunneled central catheter C) Implantable port D) Tunneled central catheter
A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis. The patient's spouse asks the nurse how these techniques work. Which response by the nurse is best?
a. "The strategies work by affecting the perception of pain." b. "These techniques block the pain pathways of the nerves." c. "Both strategies prevent transmission of painful stimuli to the brain." d. "The therapies slow the release of chemicals in the spinal cord that cause pain."
A quadriplegic patient who was admitted for pneumonia was found to have a stage III pressure ulcer. A nurse explains to the patient's mother that she will know that the pressure ulcer is in the reconstruction phase of healing when
1. A scab has formed over the wound. 2. Pink or red tissue can be seen in the wound. 3. The wound becomes warm to the touch. 4. A healing ridge has developed beneath the wound.
A patient with Parkinson's disease who has been positively responding to drug treatment suddenly develops a relapse of symptoms. Which explanation by the nurse is appropriate?
1. "You have apparently developed resistance to your current medication and will have to change to another drug." 2. "This is an atypical response. Unfortunately, there are no other options for drug therapy to treat your disease." 3. "This is called the ‘on-off phenomenon.' Your health care provider can change your medication regimen slightly to help diminish this effect." 4. "You should keep taking your medication at the current dose. These effects will go away with time."