The client who is about to be discharged asks the nurse for suggestions on how to improve the quality of her sleep so that she can wake feeling refreshed in the morning. The nurse reviews the client's history and suggests: (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. Adjust the temperature in the room to a comfortable level.
4. Limit the use of alcohol to early in the evening.
5. Do not smoke before bedtime.
Rationale: A comfortable room temperature will promote sleep. Alcohol interferes with REM sleep, and its consumption should be limited to well before bedtime. Nicotine is a stimulant and may 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.
You might also like to view...
The nurse is caring for a boy who has muscular dystrophy. When planning assistance with the patient's ADLs, what goal should the nurse prioritize?
A) Promoting the patient's recovery from the disease B) Maximizing the patient's level of function C) Ensuring the patient's adherence to treatment D) Fostering the family's participation in care
A nurse is ordered to observe a female client suspected to have meningitis for positive Brudzinski's sign. Which of the following would the nurse document as a positive Brudzinski's sign?
A) Evidence of pain when the client lies on the back and brings one leg up so that the hip and knee are flexed at 90 degrees. B) Evidence of pain when the client lies on the side and brings one leg up so that the hip and knee are flexed at 90 degrees C) Evidence of pain or resistance when the client lies on the back and brings her head forward toward the chest D) Evidence of pain or resistance when the client lies on the side and brings her head forward toward the chest
The primiparous patient has asked the nurse why her cervix has only changed from 1 to 2 cm in three hours of contractions occurring every five minutes. The best response by the nurse is:
1. "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress." 2. "When your perineal body thins out, your cervix will begin to dilate much faster than it is now." 3. "What did you expect? You've only had contractions for a few hours. Labor takes time." 4. "The hormones that cause labor to begin are just getting to be at levels that will change your cervix."
What is the typical sputum appearance of a patient with pneumonia?
a. yellow b. rust c. white d. gray