EENT and Sleep Disorders Q 2 - Gyan Darpan : Learning Portal
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Wednesday 23 March 2022

EENT and Sleep Disorders Q 2

To assist an adult client to sleep better the nurse recommends which of the following?
     A. Drinking a glass of wine just before retiring to bed.
     B. Eating a large meal 1 hour before bedtime.
     C. Consuming a small glass of warm milk at bedtime.
     D. Performing mild exercises 30 minutes before going to bed.

Correct Answer: C. Consuming a small glass of warm milk at bedtime.

A small glass of milk relaxes the body and promotes sleep. Encourage the client to take milk. L-tryptophan is a component of milk that promotes sleep. Instruct the patient to follow a consistent daily schedule for rest and sleep. Consistent schedules facilitate regulation of the circadian rhythm and decrease the energy needed for adaptation to changes.

Option A: Educate the patient on the proper food and fluid intake such as avoiding alcohol, caffeine, or smoking before bedtime. Alcohol produces drowsiness and may facilitate the onset of sleep but interferes with REM sleep.
Option B: Educate the patient on the proper food intake such as avoiding heavy meals before bedtime. Having full meals just before bedtime may produce gastrointestinal upset and hinder sleep onset.
Option D: Encourage daytime physical activities but instruct the patient to avoid strenuous activities before bedtime. In insomnia, stress may be reduced by therapeutic activities and may promote sleep. However, strenuous activities may lead to fatigue and may cause insomnia.

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