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    Hesi lpn exit proctored examQuestion 233
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    Hesi lpn exit proctored exam

    An older male client who has recently been admitted to the hospital tells the practical nurse (PN) that he is unable to fall asleep, but states he does not want to take a prescribed sleeping pill because he will feel too sleepy the next day. Which action should the PN implement to help the client sleep?

    Explanation & Rationale

    A. Offer blankets and thick socks for increased warmth and comfort: Providing warmth promotes relaxation and comfort, which can naturally enhance sleep onset in older adults. Maintaining an optimal sleep environment is an effective nonpharmacologic intervention for insomnia without causing morning drowsiness. B. Administer a prescribed as needed (PRN) analgesic with a sedating effect: Giving medication for sedation without a clear indication of pain or discomfort is inappropriate. Analgesics should only be administered to relieve pain, not as a substitute for a sleeping aid. C. Explain that the effect of the medication will wear off by morning: Attempting to persuade the client to take the sleeping pill disregards his expressed preference and autonomy. Nonpharmacologic sleep promotion strategies should be prioritized to respect his wishes. D. Encourage regular exercise before going to bed at night: Engaging in exercise immediately before bedtime can stimulate the body and increase alertness, making it more difficult to fall asleep. Exercise is beneficial earlier in the day but not recommended right before rest.

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