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NURS 201-Chapter 35
Rest and Sleep
| Question | Answer |
|---|---|
| A nurse is caring for a client newly diagnosed with sleep apnea. Which should the nurse teach the client about the most important reason why the continuous positive air pressure (CPAP) device should be used during sleep? | “The CPAP assures you get enough oxygen throughout the night.” |
| The client is scheduled for a polysomnography to determine if the client has obstructive sleep apnea (OSA). The nurse instructs the client to: | anticipate sleeping overnight at a health care center. |
| A nurse is conducting an assessment of a middle-aged client who reports difficulties with sleeping at night. Which information would the nurse correlate with the client's sleep-wakefulness pattern? | -"I usually go to bed around 9 and get up at about 7." -"I usually get up two to three times a night to urinate." |
| Which interview question would be the best choice for the nurse to use to assess for recent changes in a client’s sleep–wakefulness pattern? | Do you usually go to bed and wake up about the same time each day? |
| Clients' spouse's sleep patterns of snoring loudly then becoming startled and waking up five or six times a night. and asks how to improve the spouse’s sleep patterns. Which Information will the nurse include in teaching about healthy sleep patterns? | Discuss the sleep pattern with the health care provider. |
| A nurse is reviewing the medication administration record. Which order does the nurse question? | a diuretic administered twice daily at 9 a.m. and 9 p.m. |
| A nurse notes that a client admitted to a long-term care facility sleeps for an abnormally long time. After researching sleep disorders, the nurse learns that which area of this client’s brain may have suffered damage? | Hypothalamus |
| Which factor necessitates the need for more sleep in the adolescent population? | rapid growth |
| Client reports difficulty sleeping and has exploratory laparotomy in the morning. Nursing concern of altered sleep pattern wi/ insomnia related to fear of surgery. Which step is most appropriate in planning care for this this client's nursing concern? | Provide an opportunity for the client to talk about concerns. |
| The nurse is discussing sleep interventions with a client. What statement made by the client indicates an understanding of sleep restriction? | limiting time in bed to actual sleep time |
| Pt. developed an infection at her surgical incision site. Each morning, the client reports overwhelming fatigue and has told the nurse, "I just can't manage to get any sleep around here." How should the nurse first respond to this client's statement? | Assess the factors that the client believes contribute to the problem. |
| Nurse notes the client is having slowed speech and focus, irritability, yawning, and that he reports severe lumbar and right leg pain after accident. The nurse suspects which primary nursing concern? | altered sleep pattern related to acute pain |
| A client comes to the clinic and states to the nurse, "I am traveling overseas for a project frequently and am having a difficult time adjusting because of jet lag. What is the best response by the nurse? | "Light therapy can be beneficial and help ease the transition to a new time schedule or zone." |
| A client with difficulty sleeping is prescribed ramelteon. The client asks the nurse, "How does this medicine work?" Which information would the nurse include in the response? | Activates the receptors for the hormone melatonin |
| Nurse in a long-term care facility has administered a sedative hypnotic to a client who complains of insomnia. The client does not seem to be responding to the drug and is now lying awake at night. What is the most likely explanation? | Most sedative hypnotics lose their effect after 1 or 2 two weeks of administration. |
| The client has been in the intensive care unit for several days. The client appears to be sleeping throughout the night. The nurse records the data listed above. The nurse evaluates that rapid eye movement (REM) sleep is occurring at: | 0100 |
| The pediatric nurse teaches parents about normal sleep patterns in their children. Which education point should the nurse include? | Inform parents that daytime napping decreases during the preschool period, and, by the age of 5 years, most children no longer nap. |
| A client tells the nurse that the client often has a difficult time falling asleep at night. What suggestion offered by the nurse may assist the client in achieving sleep? | a snack containing carbohydrates and protein |
| A client is worried and states, “I just know I won’t be able to sleep before my surgery.” What sleeping pattern would the nurse anticipate? | The client will likely not be able to sleep. |
Created by:
kmeans34
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