Basic principles of healthy sleep hygiene include all the following EXCEPT

Correct Answer: D

Rationale: Heavy meals before bedtime can disrupt sleep.

Correct Answer: A

Rationale: An increase in urine output and a return to normal urine color are clear, observable signs of improvement in glomerulonephritis.

Correct Answer: D

Rationale: A bleeding disorder is a contraindication for thoracentesis because the procedure involves inserting a needle through the chest wall into the pleural space to drain fluid. Individuals with a bleeding disorder are at an increased risk of bleeding complications during and after the procedure. It is important to ensure adequate clotting function before performing a thoracentesis to prevent excessive bleeding. If a client has a bleeding disorder, alternative diagnostic methods may need to be considered to minimize the risks associated with the procedure.

Correct Answer: D

Rationale: Kawasaki disease is an acute febrile illness that primarily affects children. The therapeutic management of Kawasaki disease includes the administration of gamma globulin and aspirin. Intravenous immunoglobulin (IVIG) or gamma globulin is given as a single dose to reduce the risk of coronary artery abnormalities, while aspirin is used for its anti-inflammatory effects. It is important to note that aspirin should not be given to children with viral infections due to the risk of Reye syndrome. Therefore, option D is the correct choice in this case.

Correct Answer: D

Rationale: Heavy meals close to bedtime disrupt sleep.