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    ATI wellness and selfcare proctored exam (fundamentals)

    A nurse is caring for an older adult client who reports episodes of insomnia. The nurse should include which of the following dietary interventions in the plan of care?

    Explanation & Rationale

    A. Hot chocolate contains caffeine and sugar, both of which can interfere with sleep onset and quality. Consuming caffeinated beverages close to bedtime can worsen insomnia, especially in older adults who are more sensitive to stimulants. B. Eating a large meal before bedtime can lead to indigestion, acid reflux, and disrupted sleep. Heavy evening meals can make it more difficult to fall asleep and reduce overall sleep quality. C. Offering a small, low-carbohydrate snack before bed can prevent hunger that might disrupt sleep while avoiding high sugar or heavy foods that interfere with rest. Examples include a small portion of nuts, cheese, or a plain cracker. This strategy supports sleep hygiene and helps maintain blood glucose stability overnight.

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