Author Question: Which of the following would be the most supportive nursing measures to assist clients with sleep ... (Read 13 times)

Starlight · **on:** Jul 24, 2018

Which of the following would be the most supportive nursing measures to assist clients with sleep needs?

a. make clients feel secure by performing frequent assessments
b. schedule all medications to be administered during the daytime
c. be sure all visitors have left the nursing unit by 2100
d. maintain adequate pain management

Question 2

A client taking ranitidine tells the nurse that he frequently experiences headaches. The best response by the nurse is:

a. This is a normal side effect of ranitidine.
b. We should report this to your doctor as soon as possible.
c. Though headaches can occur, can you describe these headaches for me?
d. Don't worry. This is normal. My mother experienced the same thing.

parshano · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D

Feedback
A Incorrect: Frequent disturbances do not support rest and sleep.
B Incorrect: This is not practical or appropriate, although medications that can be scheduled during the daytime should be scheduled as such.
C Incorrect: For some clients, having family members stay will them allows them to rest.
D Correct: Unmanaged pain is one of the most common causes of clients's inability to rest and sleep.

Answer to Question 2

ANS: C

Feedback
A Incorrect: Although true, the nurse should be seeking further clarification about the headaches.
B Incorrect: This response would probably scare the client.
C Correct: This is the best nursing response.
D Incorrect: This is an inappropriate nursing response.