A client who smokes cigarettes tells the nurse that sleep is light, an

A client who smokes cigarettes tells the nurse that sleep is light, and that he awakens easily. What should the nurse suggest to help this client with sleep?

1. Smoke no cigarettes 1 hour before sleep.
2. Smoke no cigarettes after the evening meal.
3. Limit the number of cigarettes smoked during the day.
4. Adjust to the lack of sleep, because those who smoke do not get sufficient sleep.

ANSWER

Correct Answer: 2
Rationale 1: Smoking up to 1 hour before sleep will be too much stimulation before sleep.
Rationale 2: Nicotine has a stimulating effect on the body, and smokers often have more difficulty falling asleep than nonsmokers do. Smokers are usually easily aroused, and often describe themselves as light sleepers. When refraining from smoking after the evening meal, the person usually sleeps better.
Rationale 3: Limiting the number of cigarettes smoked during the day will not impact the client’s ability to sleep at night.
Rationale 4: The client can be instructed not to smoke after the evening meal, and should not be told to adjust to the lack of sleep, because those who smoke do not get sufficient sleep.