A client who reported, "a problem sleeping" shows an understanding of good sleep hygiene when:
a. doing 10 pushups before bed to encourage a 'pleasant tiredness'
b. seldom eating a bedtime snack
c. engaging in computer games as a pre-bed activity
d. limiting the afternoon nap to just 30 minutes
ANS: D
Limiting daytime napping to 30 minutes or less is a good sleep hygiene practice. Exercise should be completed at least 4 hours before retiring while bedtime snack is acceptable if the food is light and so easily digested. Computer-focused activities are not generally encour-aged as a part of a bedtime routine.
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An important component in medication administration is to assess the client for drug allergies
Indicate whether the statement is true or false.
The client with a nasogastric tube is prescribed four medications via the tube. The nurse is aware that optimal administration of these medications is by which of the following methods?
a. Crush all tablets into a fine powder and mix them together in warm water. b. Crush tablets and place each into a separate medication administration cup diluted in warm water. c. Administer only liquid medications via the nasogastric tube. d. Keep the client n.p.o. as long as the nasogastric tube is in place.
A patient with endometriosis is being treated with the gonadotropin-releasing hormone (GnRH) agonist leuprolide (Lupron Depot). A nurse is teaching the patient about the drug
Which statement by the patient indicates understanding of the teaching? a. "I can continue to take the medication if I get pregnant." b. "I can expect the medication to cure my symptoms." c. "I may have menopausal-like symptoms when taking this medication." d. "I will need to take the medication for several years."
The most important factor in successfully initiating a restraint-free environment is
a. Providing in-service training of nursing staff about restraint policies and procedures b. Educating the residents and families regarding restraint-free principles c. Reviewing the Patient's Bill of Rights with the whole staff so that they understand the right of the resident to choose to be unre-strained d. Discussing safer methods of restraining residents