Question

a client informs the nurse about difficulty getting a restful sleep. what education can the nurse provide to encourage adequate sleep and rest? select all that apply.

eat chocolate before bed.

perform moderate exercise.

discontinue the use of tobacco or tobacco products.

drink an alcoholic drink 1 hour prior to bed to assist with staying asleep.

eat a small protein - and carbohydrate - containing snack about an hour before bedtime.

Explanation:

• Eat chocolate before bed: Chocolate contains caffeine and theobromine, which are stimulants. These can interfere with sleep, so this is not a good recommendation.
• Perform moderate exercise: Moderate exercise (not too close to bedtime) can help with sleep. It can reduce stress and promote physical tiredness, which can lead to better sleep.
• Discontinue the use of tobacco or tobacco products: Tobacco products contain nicotine, a stimulant. Nicotine withdrawal can also cause sleep disturbances. Quitting can improve sleep quality.
• Drink an alcoholic drink 1 hour prior to bed to assist with staying asleep: Alcohol may initially make a person feel drowsy, but it disrupts sleep later in the night (e.g., causes more awakenings, disrupts REM sleep). So this is not a good recommendation.
• Eat a small protein - and carbohydrate - containing snack about an hour before bedtime: A small snack with protein and carbohydrates (e.g., a piece of toast with peanut butter) can help stabilize blood sugar levels. This may prevent hunger - related awakenings and can promote sleep.

Answer:

B. Perform moderate exercise, C. Discontinue the use of tobacco or tobacco products, E. Eat a small protein - and carbohydrate - containing snack about an hour before bedtime.