A 63-year-old client is discussing the recent problem the client ...

[Jkov05]

A 63-year-old client is discussing the recent problem the client is experiencing with falling asleep. The nurse is discussing strategies to minimize this problem.
 
  Which of the following bedtime snacks would be the most likely to induce sleep?
  1. One slice of cheese on four wheat crackers and a glass of skim milk
  2. Two cups of air-popped popcorn and a glass of fruit juice
  3. Two fig cookies and a cup of decaffeinated tea
  4. One small pear and a glass of soymilk

Question 2

The nurse is caring for a 35-year-old father of three young children who has experienced a com-pound fractured femur as a result of a work-related incident.
 
  He has expressed great concern over both his physical recovery and his long-term ability to work again. This has affected both his emotional status and his sleeping patterns. The nurse's most immediate concern is that:
  1. The client needs medication to prevent depression
  2. The lack of appropriate rest will affect his healing process
  3. An occupational therapy consult should be ordered to help him regain his ability to return to his job
  4. A psychiatric consult should be ordered to help the client deal with his various emotional concerns

[Juro]

Answer to Question 1

ANS: 1
One substance that promotes sleep in many people is L-tryptophan, a natural protein found in foods such as milk, cheese, and meats.

Answer to Question 2

ANS: 2
You must always be aware of the client's need for rest. A lack of rest for long periods causes ill-ness or worsening of existing illness. Although the other options are appropriate concerns, they are not as immediate in nature as is the sleep problem.

[Jkov05]

Thanks for the timely response, appreciate it

[raenoj]

TYSM