The nurse is providing discharge instructions to a patient who has had sleep alterations. The following statements by the patient indicate further education is needed
a. "I should avoid drinking caffeine too close to bedtime."
b. "I should not eat anything too close to bedtime."
c. "I should exercise regularly to help with sleeping."
d. "I can gain weight if I don't sleep enough."
ANS: B
Going to bed hungry or eating a large, heavy, or spicy meal just before going to bed can interfere with sleep. Bedtime snacks that contain complex carbohydrates are recommended to promote calmness and relaxation. Highly caffeinated substances such as coffee, cola, and chocolate are central nervous system stimulants that can disrupt the sleep cycle. Exercise can assist with weight-loss efforts and promote fatigue and relaxation, but excessive exercise, especially in the evening, interferes with sleep. Both children and adults who sleep less than the recommended number of hours each night are more likely to be overweight.
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