The nurse is discharging a client who was prescribed prednisone. The nurse tells the client that one of the side effects may be impaired sleep. The client says, “I already have a hard time sleeping. What can I do to help with that?” Which recommendations should the nurse make? Select all that apply.

  • avoid alcohol late in the evening
  • keep the bedroom dark and quiet
  • maintain the same consistent sleep schedule
  • eat a large, heavy meal at dinner to help promote sleep
  • read or do another quiet, noncomputer activity before bed
  • do a vigorous exercise routine after work to help him become tired
Numbers 1, 2, 3, and 5 are correct.
The nurse will educate the client on good sleep hygiene. Keeping the bedroom dark and quiet helps promote sleep. Rooms that are too light due to outside lights should be fitted with dark shades or curtains. Going to bed and getting up at the same time helps the body maintain a circadian rhythm. Sleeping in late on weekends can disrupt weekday sleep. Reading and other quiet activities help the client relax and prepare for sleep. Computers and TVs emit blue light, which stimulates the brain to stay alert. Despite common belief, alcohol does not help with sleep. It may make it easier to fall asleep initially, but later disrupts REM sleep, making it easier to wake. A heavy meal before bed stimulates the metabolism and can cause discomfort, leading to difficulty sleeping. Vigorous activity close to bedtime will stimulate the body, making sleep harder.