Hurst- Fundamentals Advanced Exam Questions With Complete Solutions.

Hurst- Fundamentals Advanced Exam Questions With Complete Solutions. A client shares with the nurse that they are having difficulty staying asleep. Which sleep hygiene intervention would the nurse share with the client to promote falling asleep? 1. Take a cool bath. 2. Include a daytime exercise plan. 3. Take an antihistamine at bedtime. 4. Scan the news feeds on the computer. - CORRECT ANSWER 2. Correct: Including a daytime exercise program is a sleep hygiene recommendation that will increase the quality of sleep. The exercise program increases metabolism and reduces stress. Activities after 1700 should be avoided if they a strenuous. 1. Incorrect: As the cycle of falling to sleep begins, the temperature of the hands and feet increases and the core temperature decreases. When the client takes a warm bath or shower, this will increase the temperature of the hands and feet. It is the cooling down of the body after the warm bath that promotes sleep. By taking a cool bath the temperature of the hands and feet will decrease at a faster pace. 3. Incorrect: Antihistamine are drugs that counteract histamine in the body. A side effect of histamines is sleepiness, which might assist one to fall asleep. Routine use of antihistamines is not recommended for insomnia, since tolerance for the antihistamines can occur and the medication is intended for short term use. 4. Incorrect: Scanning the news feeds on the computer is not a sleep hygiene recommendation. The news feeds can be disturbing and the light from the computer has a stimulating effect . An intubated client admitted to the intensive care unit appears anxious and fearful of the equipment in the room. The nurse observes this and takes the time to explain each piece of equipment and its role in providing care to the client. How does this action demonstrate client advocacy? 1. Providing information to the client. 2. Promoting client compliance. 3. Providing emotional support. 4. Ensuring the client's wishes for treatment are followed. 5. Fostering a sense of security. - CORRECT ANSWER 1., 3. & 5. Correct: Client advocacy has been described in many different ways and involves many things such as assistance in gaining needed healthcare, assuring quality of care, protection of client's rights, and simply serving as a mediator