Author Question: A 44-year-old female client shares with the nurse that she is having difficulty falling asleep at ... (Read 22 times)

joe · **on:** Jul 22, 2018

A 44-year-old female client shares with the nurse that she is having difficulty falling asleep at night, even though she is exhausted. The nurse knows that which of the following reasons could be causing the sleeplessness?

a. Two cups of hot coffee every evening
b. Vegetarian diet
c. Afternoon exercise program
d. Hot bath in the evening

Question 2

The nurse is observing a new staff member work with the patient. Of the following activities, which one has the greatest possibility of contributing to a nosocomial infection and requires correction?

a. Washing hands before applying a dressing
b. Taping a plastic bag to the bed rail for tissue disposal
c. Placing a Foley catheter bag on the bed when transferring a patient
d. Using alcohol to cleanse the skin before starting an intravenous line

joshbk44 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
The nurse should encourage clients to avoid drinking or ingesting caffeine before bedtime. Cof-fee, tea, and chocolate act as stimulants, and can cause a person to stay awake or awaken throughout the night. Coffee, tea, colas, and alcohol act as diuretics and cause a person to awak-en and void at night.
A vegetarian diet would not be causing sleeplessness.
An afternoon exercise program would not be causing sleeplessness.
A hot bath in the evening may promote relaxation and would not cause sleeplessness.

Answer to Question 2

C

Feedback
A Washing hands before applying a dressing is a correct action to help prevent a nosocomial infection.
B Taping a plastic bag to the bed rail for tissue disposal is a correct action to aid the patient in proper disposal of secretions.
C The staff member who places the Foley catheter bag on the bed when transferring the patient is placing the patient at risk for a nosocomial infection because urine in the catheter or drainage tube may re-enter the bladder (reflux).
D Using alcohol to cleanse the skin before starting an intravenous line is a correct action to prevent a nosocomial infection of the bloodstream.