Author Question: An older woman maintains an active lifestyle playing various games with friends. She reports to the ... (Read 13 times)

leo leo · **on:** Jul 11, 2018

An older woman maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night.

Which intervention should the nurse implement to improve the quality of this woman's sleep? a. Recommend preparation for sleep.
b. Suggest trying a cup of warm milk at bed-time.
c. Inquire about her nightly sleep rituals.
d. Propose volunteer work at a thrift shop.

Question 2

Which of the following interventions is recommended for an older adult in the final stages of dying?

a. Apply an electric blanket to keep the pa-tient warm.
b. Lower the head of the bed, and turn the head to the side.
c. Decrease the number of visitors.
d. Support the preservation of energy.

aidanmbrowne · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
The nurse completes an assessment of the woman's sleeping habits and other pertinent informa-tion before planning care and implementing nursing interventions to individualize therapy. Pre-paring for sleep is a reasonable intervention to propose after completing an assessment. Sipping warm milk is also a reasonable intervention to suggest after completing an assessment. Engaging in meaningful activities can improve the quality of sleep and is a reasonable intervention to pro-pose after the assessment.

Answer to Question 2

D
Conserving energy should be a focus in the care of a patient in the final stage of dying. Com-pleting only the necessary activities of daily living (ADLs) would be an example.
An electric blanket should not be used; it can increase the patient's distress by overheat-ing. Elevating the head of the bed and turning the patient's head to the side is a recommended intervention to help clear uncomfortable respiratory congestion. Nurses should not withhold vis-itors; the patient needs to have closure, as well as the family.