A female patient who is experiencing menopause is "tired of the night sweats.". Which activity can the nurse suggest to help this patient?
1. Ensure that the bedroom temperature is cool and limit sleeping attire.
2. Reduce intake of milk and milk products.
3. Suggest talking with the physician about a hysterectomy.
4. Exercise 1 hour before going to sleep.
1
Rationale 1: The underlying cause of hot flashes is not known; however, many physiologic effects of menopause are responsive to nonpharmacologic methods of relief, such as lifestyle changes and control of the environment.
Rationale 2: The recommended daily intake of calcium for women over 50 is 1,200 mg.
Rationale 3: Encouraging the patient to look into surgical intervention is outside the scope of nursing practice. A hysterectomy will further reduce the patient's natural estrogen levels and could make night sweats worse.
Rationale 4: Exercise immediately before bedtime can interrupt sleep.
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