A nurse is caring for a client in an outpatient health clinic. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Encourage a regular sleep-wake schedule (Indicated): The client has insomnia and is taking trazodone. A consistent sleep routine helps regulate circadian rhythm and improves sleep quality. Avoid fermented or aged foods (Indicated): Trazodone has serotonergic activity, and although risk is lower than MAOIs, NCLEX-style safety teaching often includes avoiding tyramine-rich foods when serotonin-affecting agents are used, especially in psychopharmacology safety context. High-calorie finger foods (Indicated): The client has unintentional weight loss and decreased appetite. Small, energy-dense foods help improve caloric intake when appetite is poor. Sleep until later in the morning (Not Indicated): Sleeping late disrupts circadian rhythm and worsens insomnia long-term. Structured wake times are preferred. Daytime naps (Not Indicated): Napping can worsen nighttime insomnia and reduce sleep drive, especially in clients already experiencing sleep disturbance. Rise slowly from sitting (Indicated): Trazodone can cause orthostatic hypotension. Slow position changes reduce risk of dizziness and falls. Notify provider if pregnant (Indicated): Trazodone use in pregnancy requires provider evaluation due to limited safety data; pregnancy status should be reported promptly.