A 44-year-old female client shares with the nurse that she is having difficulty falling asleep at night, even though she is exhausted. The nurse knows that which of the following reasons could be causing the sleeplessness?
a. Two cups of hot coffee every evening
b. Vegetarian diet
c. Afternoon exercise program
d. Hot bath in the evening
A
The nurse should encourage clients to avoid drinking or ingesting caffeine before bedtime. Cof-fee, tea, and chocolate act as stimulants, and can cause a person to stay awake or awaken throughout the night. Coffee, tea, colas, and alcohol act as diuretics and cause a person to awak-en and void at night.
A vegetarian diet would not be causing sleeplessness.
An afternoon exercise program would not be causing sleeplessness.
A hot bath in the evening may promote relaxation and would not cause sleeplessness.
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