The nurse should instruct the client to do which of the following to promote good sleep hygiene at home?
1. Use the bedroom only for sleep or sexual activity.
2. Eat a large meal 1 to 2 hours before bedtime.
3. Exercise vigorously before bedtime.
4. Stay in bed if sleep does not come after hour.
ANSWER
ANS: 1
The nurse should explain that, if possible, the bedroom should not be used for intensive studying, snacking, TV watching, or other nonsleep activity, besides sex. The nurse should instruct the cli-ent to avoid heavy meals for 3 hours before bedtime; a light snack may help. The nurse should also instruct the client to try to exercise daily, preferably in morning or afternoon, and to avoid vigorous exercise in the evening within 2 hours of bedtime. Getting out of bed and doing some quiet activity until feeling sleepy enough to go back to bed if the client does not fall asleep with-in 30 minutes of going to bed may also help.
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