Author Question: Teaching for a client who is currently taking a diuretic should include information that he or she ... (Read 18 times)

leo leo · **on:** Jul 23, 2018

Teaching for a client who is currently taking a diuretic should include information that he or she may experience:

1. Nocturia
2. Nightmares
3. Increased daytime sleepiness
4. Reduced REM sleep

Question 2

The mother of a 2-year-old child is frustrated because the child does not want to go to bed at the scheduled bedtime. The nurse should suggest that the parent:

1. Offer the child a bedtime snack
2. Eliminate one of the naps during the day
3. Allow the child to sleep longer in the mornings
4. Maintain consistency in the same bedtime ritual

Kjones0604 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
For the client who is currently taking a diuretic, the nurse should inform the client that he or she might experience nighttime awakening caused by nocturia. Diuretic use does not cause night-mares or daytime sleepiness or reduce REM sleep.

Answer to Question 2

ANS: 4
The nurse should advise the parent to maintain a regular bedtime and wake-up schedule and to reinforce patterns of preparing for bedtime. A bedtime routine (e.g., same hour for bedtime, quiet activity) used consistently helps young children avoid delaying sleep. It is most important that the parent maintains a consistent bedtime routine. If a bedtime snack is already part of that rou-tine, then this is allowable. If it is not, then the child may only use having a snack as a measure of procrastination. After 3 years of age the child may give up daytime naps. A bedtime routine used consistently will be more effective in helping the child who resists going to sleep. The same regu-lar bedtime and wake-up schedule should be maintained.