A nurse is caring for an elderly client confined to bed who complains of an inability to sleep. What activity should the nurse include in the client's plan of care to promote sleep?
A) Sleeping about 4 to 5 hours during the day
B) Watching television before sleep
C) Performing chair exercises during the day
D) Performing physical activity before bed
C
Feedback:
The nurse should encourage the client to perform chair exercises during the day since this promotes sleep. Sleeping 4 to 5 hours during the day would interfere with nighttime sleep. The older adult requires about 7 to 9 hours of sleep within a 24-hour period. Engaging the client in watching television before sleep may interfere with sleep because it is stimulating in nature. Exercise that is performed too close to bedtime may similarly stimulate the client and interfere with sleep.
You might also like to view...
When evaluating the effectiveness of new or revised therapies for pain relief, the nurse should:
a. observe the patient performing activities of daily living. b. observe the patient's facial expressions. c. frequently assess subjective data. d. perform evaluation of outcome goals.
Healthcare organization XYZ provides women's health services on an inpatient basis (average stay of less than 30 days). This facility would likely be considered:
a. Primary care, specialized. b. Tertiary care, long-term. c. Acute care, specialized. d. Public care, specialized.
A child is placed in a foster home after being removed from parental contact because of abuse. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. What should the nurse recommend?
Select all that apply. a. Use a calm manner and low voice. b. Maintain simplicity in the environment. c. Avoid repetition in what is said to the child. d. Minimize opportunities for exercise and play. e. Explain and reinforce reality to avoid distortions.
A patient's IV flow needs to be checked frequently so that any adjustments in rate will be small. The allowable percent of change varies according to the institution's policy, patient's condition, and other factors. For this problem set only, assume that the patient's flow rate may be reset if the maximum variation from the physician's order is not more than 25%. Compute the percent of variation
before resetting IV flow rates, and indicate either the new flow rate you will set or the appropriate action you will take. The following IV order will be regulated manually: 1,000 mL D5W IV to infuse in 8 hours. The drop factor is 15 gtt/mL. Compute the percent of change in the flow rate. __________% According to guidelines given, is the new rate allowable? (yes/no) __________ Fill in the blank(s) with correct word