The client who is about to be discharged asks the nurse for suggestions on how to improve the quality of sleep to wake feeling refreshed in the morning. The nurse makes which of the following suggestions? Select all that apply
Standard Text: Select all that apply. 1. Adjust the temperature in the room to a comfortable level.
2. Change the time of aerobic exercise to one hour prior to sleep.
3. A cup of tea before bed is relaxing.
4. Limit the use of alcohol to early in the evening.
5. Do not smoke before bedtime.
1,4,5
Rationale: A comfortable room temperature will promote sleep. Alcohol interferes with REM sleep, and should be limited well before bedtime. Nicotine is a stimulant, and could prevent the client from falling asleep. Exercise close to bedtime acts as a stimulant, and can cause the client to be unable to sleep. Tea contains caffeine, which is a stimulant. The nurse could suggest non-caffeinated tea before bedtime unless this causes the client to wake during the night to urinate.
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The nurse has given a community presentation on adolescent pregnancy. Which statement indicates that further teaching is necessary? Select all that apply
1. "Sisters of young teen mothers are more likely to become pregnant." 2. "Afterschool activities decrease the likelihood of teen pregnancy." 3. "When a teen plans to attend college, abortion is less likely." 4. "Young teen parents are less likely to have another child during their teens." 5. "Teens from low-income households are less likely to become pregnant." Correct
A patient experiencing menopausal symptoms asks what dietary changes can be made to reduce the manifestations of menopause. What should the nurse instruct the patient?
A) Eat meats and dairy products rich in animal estrogens B) Eat whole grains, nuts, and soybeans rich in plant estrogens C) Eat fruits and vegetables rich in vitamin C to increase estrogen retention D) Drink coffee and caffeinated sodas to stimulate estrogen release from the adrenal glands
The nurse caring for an elderly widow notes her patient making statements such as, "Ever since my husband died I can't seem to do anything right."
The patient was widowed 2 years prior to this current hospitalization, which is her fifth since losing her husband to cancer after a long struggle. The woman says to the nurse, "The doctor says my blood pressure is dangerously high. What is making my blood pressure so high?" What does the nurse know about the probable cause of this patient's hypertension? A) Prolonged or unrelenting suffering can cause physical illness. B) Physical illness is always caused by prolonged stress. C) The elderly are at increased risk for hypertension due to stress. D) Stress always exacerbates the physiologic processes of the elderly
The nurse is assessing a client who may have arterial insufficiency in the left lower leg. Which of the following are consistent with this diagnosis? Standard Text: Select all that apply
1. Left dorsalis pedis pulse +1, right dorsalis pedis pulse +3 2. Skin is cool, tight, and shiny 3. When left leg is dependent, erythema is present 4. When left leg is elevated, pallor is present 5. Client complains of increased pain during rest periods