Basic Care and Comfort Practice Question

Question

The nurse is caring for a client with limited mobility and is focused on sleep promotion scenario 9. Which nursing action is most appropriate?

Answer choices

1. A. Cluster care and reduce unnecessary nighttime interruptions when possible.
2. B. Delay assessment until the next scheduled round if the client is not calling for help.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

A. Cluster care and reduce unnecessary nighttime interruptions when possible.

Explanation

The priority action for sleep promotion is to cluster care and reduce unnecessary nighttime interruptions when possible. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: easy
• Domain: Basic Care and Comfort
• Objective: sleep promotion

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