Author Question: A nurse is caring for an elderly client confined to bed who complains of an inability to sleep. What ... (Read 52 times)

berenicecastro · **on:** Jul 22, 2018

A nurse is caring for an elderly client confined to bed who complains of an inability to sleep. What activity should the nurse include in the client's plan of care to promote sleep?

A) Sleeping about 4 to 5 hours during the day
B) Watching television before sleep
C) Performing chair exercises during the day
D) Performing physical activity before bed

Question 2

A nurse at a health care facility uses a tonsil-tip (Yankeur) catheter to remove the secretions from the mouth of a client with chest congestion. Which of the following suctioning techniques is the nurse using in this case?

A) Nasopharyngeal suctioning
B) Nasotracheal suctioning
C) Oropharyngeal suctioning
D) Oral suctioning

kalskdjl1212 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
The nurse should encourage the client to perform chair exercises during the day since this promotes sleep. Sleeping 4 to 5 hours during the day would interfere with nighttime sleep. The older adult requires about 7 to 9 hours of sleep within a 24-hour period. Engaging the client in watching television before sleep may interfere with sleep because it is stimulating in nature. Exercise that is performed too close to bedtime may similarly stimulate the client and interfere with sleep.

Answer to Question 2

D
Feedback:
The nurse uses oral suctioning to remove liquid secretions from the mouth of a client with chest congestion. Nurses perform oral suctioning, removal of secretions from the mouth, with a suctioning device called a Yankeur-tip or tonsil-tip catheter. Nasopharyngeal suctioning is the removal of secretions from the throat through a nasally inserted catheter. Nasotracheal suctioning is the removal of secretions from the upper portion of the lower airway through a nasally inserted catheter. Oropharyngeal suctioning is the removal of secretions from the throat through an orally inserted catheter.