During a routine physical examination, an older patient reports having problems falling asleep at night despite engaging in vigorous activities to become tired in the evening. How should the nurse respond to the patient?
1. "You should vary your routine each day."
2. "You should time activities to end within an hour of bedtime."
3. "Exercise is recommended, but it should not be done closer than 3 hours to bedtime."
4. "Lighten your exercise routine in the afternoon; concentrate exercise toward the morning hours."
2
Rationale: Varying the routine is a positive idea but does not meet the problems presented by the patient.
You might also like to view...
One activity which could be included in the process component of health care is:
a. medical records b. referrals to specialists c. absence of health care–acquired infections d. recruitment and retention of nurses
Which is a common feature of the learning organization?
A) A tolerance of mistakes B) Hiring RNs with baccalaureate degrees C) Encouraging a variety of visions D) Stressing individual learning
When teaching the parent(s) of a toddler, nurses discuss the dangers of aspiration that may be caused by small toys and other objects in the home. Toddlers are at risk for swallowing small objects because
A) They learn by experiencing objects orally B) They know they will get attention if they put things in their mouths C) They are purposely frightening their parent(s) D) They are bored
B.A. is a natural-born American and has no risk factors for TB infection according to the CDC guidelines. She has a 6-year history of type II diabetes mellitus that is well controlled with metformin (Glucophage)
She admits that her mother had TB when she was a child but says she herself has never tested positive before. She is angry at the proposition that she might have TB and says, "I feel just fine and I don't think anything else is necessary." What steps need to be done to determine whether B.A. has an active TB infection?