Nokea
A nurse in an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve clients' sleep. Which of the following instructions should the nurse include?
- A. Turn on overhead lights briefly when checking IV lines.
- B. Open curtains between clients in semiprivate rooms.
- C. Wear shoes with rubber soles.
- D. Conduct change-of-shift report near the clients' rooms.
Correct Answer: C
Rationale: Wearing shoes with rubber soles is correct. Rubber-soled shoes reduce noise from footsteps, minimizing disturbances in client rooms and creating a quieter environment that promotes sleep.
You may also like to solve these questions
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 8 hours.
- B. Flush the tube with cold water every 4 hours.
- C. Position the client flat during feeding.
- D. Change the feeding bag every 72 hours.
Correct Answer: C
Rationale: Positioning the client with the head of the bed elevated during feeding reduces the risk of aspiration, a critical safety measure.
A nurse is caring for a client who has a new diagnosis of sarcoidosis. Which of the following findings should the nurse expect?
- A. Lung nodules
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Lung nodules are a common finding in sarcoidosis due to granuloma formation in the lungs.
A nurse is reinforcing teaching with a client who has a new prescription for a nicotine patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the same site each day.
- B. Remove the patch at night.
- C. Apply the patch to wet skin.
- D. Leave the patch on for 48 hours.
Correct Answer: B
Rationale: Removing the patch at night reduces the risk of nicotine overdose and minimizes side effects like insomnia.
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
- A. Decreased body temperature
- B. Increased incisional drainage
- C. Hypertension
- D. Bradycardia
Correct Answer: C
Rationale: Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.
A nurse is reinforcing teaching with a client who has a new prescription for a testosterone patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the scrotum.
- B. Remove the patch after 12 hours.
- C. Apply the patch to the upper arm.
- D. Leave the patch on for 48 hours.
Correct Answer: C
Rationale: Applying the testosterone patch to the upper arm (or other recommended sites) ensures effective hormone absorption.