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.
A nurse adjusts the rate of a client’s IV.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Restless Sleep
Health Care Costs for the Elderly and Disabled
Using small, circular strokes, exfoliate the client’s neck and back.
A hot stone placed under the client’s neck.