During a health history, the nurse explores the sleeping habits of a 3-yearold boy by interviewing his parents. Which of the following statements from the parents reflects a recommended guideline for promoting healthy sleep in this age group?
A) "Our son sleeps through the night, and we insist that he takes two naps a day."
B) "We keep a strict bedtime ritual for our son, which includes a bath and bedtime story."
C) "Our son still sleeps in a crib because we feel it is the safest place for him at night."
D) "Our son occasionally experiences night walking so we allow him to stay up later when this happens."
B
Feedback:
Consistent bedtime rituals help the toddler prepare for sleep; the parent should be advised to choose a bedtime and stick to it as much as possible. The nightly routine might include a bath followed by reading a story. A typical toddler should sleep through the night and take one daytime nap. Most children discontinue daytime napping at around 3 years of age. When the crib becomes unsafe (that is, when the toddler becomes physically capable of climbing over the rails), then he or she must make the transition to a bed. Attention during night waking should be minimized so that the toddler receives no reward for being awake at night.
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Applying study results to individual patients or to a specific patient population and communicating findings to patients in a meaningful way is the hallmark of what?
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The nurse is assessing a patient for contraindications to drug therapy with acetaminophen (Tylenol). Which patient should not receive acetaminophen?
a. A patient with a fever of 101° F (38.3° C) b. A patient who is complaining of a mild headache c. A patient with a history of liver disease d. A patient with a history of peptic ulcer disease