76 questions - Ch.34 Rest and Sleep PrepU

During the first cycle of sleep, the client will be in REM sleep for

3 minutes

The parents of a newborn ask when they can expect the baby to sleep through the night. The nurse responds that the baby will most likely sleep through the night by

3 months of age

REM sleep in a toddler is about

30%

Which of the following clients likely faces a risk for the nursing diagnosis of Disturbed Sleep Pattern: Difficulty Remaining Asleep?

A client who receives IV antibiotics every three hours

A nurse is caring for a client with intermittent fever. What is the best way for the nurse to maintain the appropriate room temperature for the client?

Adjust the thermostat

A client diagnosed with impaired thermoregulation reports to the nurse that he is feeling uncomfortable due to excessive sweating. Which of the following activities would help the nurse maintain the humidity of the environment?

Air conditioning the room

A nurse is instructing her students on the role of hormones in sleep patterns. Which statement would indicate to the nursing instructor that the student needs additional teaching?

"A hyperactive thyroid can make the client sleepy all the time."

The nurse makes the following assessment. A middle-aged client reports falling asleep frequently at his job during the day, feels like he is not getting enough sleep at night even though the number of hours of sleep are unchanged, and continues to feel tired and is not able to think clearly. Also, the client reports his wife believes he is irritable upon awakening. The nurse further assesses by asking

"Have you had any recent head injury?"

The client is a male who states his wife complains that his snoring awakens her at night. The spouse is present. To obtain further data, the nurse asks the spouse what?

"Is there silence after snoring which then is followed with a snort?"

A client in his 40s has asked the nurse how much sleep he should be getting in order to maximize his health and well-being. How should the nurse respond?

"Most adults need between seven and nine hours, but everyone is different."

Question 2: (see full question) A hospitalized patient informs the evening shift nurse that he has a routine that he follows prior to going to sleep. The patient inquires about his ability to perform his bedtime routine before sleep. How does the nurse respond?

"We will include this routine into your evening plan of care."

A new mother is discussing her 6-month-old infant's sleep habits and expresses concern about the infant obtaining too much sleep. The mother reports the infant's circadian cycle as listed above. The best statement by the nurse is:

"Your infant is obtaining the average hours of sleep per day for an infant."

The nurse is providing discharge instructions for a new mother about sleep practices for her newborn child. The mother will be breastfeeding her infant. The nurse includes the following information:

"Your newborn will probably sleep an average of 16 hours each day"

A new mother calls the pediatric nurse to talk about her baby, who sleeps "all day long." The nurse informs the new mother that an infant requires how many hours of sleep?

14 to 20 hours of sleep each day

A nurse is visiting the home of a first-time mother and her newborn. The nurse is teaching the mother about the newborn's sleep needs. The nurse would inform the mother that newborns sleep approximately how many hours per day?

16 to 18 hours

A client has been in the hospital for the past 10 days following the development of an infection at her surgical incision site. Each morning the client complains of 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.

A nurse is caring for a client diagnosed with sleep apnea. What should the nurse do in order to promote sleep in the client?

Avoid sedatives for sleeping.

A nurse on the night shift notices that a client is grinding his teeth while sleeping. How should the nurse document the diagnosis for the client?

Bruxism

A nurse is caring for a client who complains about sleep apnea. Which of the following delivery devices should the nurse use to administer oxygen to this client?

CPAP mask

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 healthcare center.

When a nurse notes that a sleeping client is demonstrating irregular respirations and is showing eye movement, the nurse identifies the stage of sleep the client is experiencing as:

rapid eye movement (REM)

The client being seen in the employee wellness clinic reports difficulty sleeping for the past several months. The most important assessment the nurse could make is

reviewing the client's sleep diary for the past 2 weeks.

The nurse makes the following assessment. A middle-aged client reports falling asleep frequently at his job during the day, feels like he is not getting enough sleep at night even though the number of hours of sleep are unchanged, and continues to feel tired and is not able to think clearly. Also, the client reports his wife believes he is irritable upon awakening. Nursing interventions include teaching the client to

use caution when driving an automobile.

A middle-aged client reports to the nurse that he has difficulty falling asleep at night. The nurse assessed the client as having poor sleep hygiene habits. The nurse provides the following instructions to the client:

• Establish a set time to go to sleep each night. • Participate in an enjoyable activity each day. • Perform moderate exercise three or four times each week.

A nurse is caring for a client who has been diagnosed with a disturbed sleep pattern. What measures should be undertaken by the client to promote sleep? Select all that apply.

• Promoting daytime exercises • Assisting with progressive relaxation • Providing a back massage

The client reports unpleasant sensation in the legs with an urge to move his legs. The nurse assesses for the following:

• Symptoms are worse during the day • Presence of the sensation in the arms • If massaging the legs provides relief

The nurse is providing care to a group of clients in an acute care facility. The client most likely to prefer a room that is warm as well as wearing thermal blankets is the client who is

aged 74 years.

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.

What factor has been hypothesized by researchers regarding current thoughts on sleep?

Chronic sleep deprivation is present

A nurse working night shift understands the importance of enhancing the sleep patterns of his clients. In order to do so, he should

Cluster activities to allow 90 to 120 minutes of sleep

The nurse is caring for new parents. During her education session, the nurse instructs the parents on a newborn's sleep patterns. Which of the following is a accurate about a newborn's sleep patters?

Newborns sleep 16 to 17 hours per day

The student nurse is providing an education program for preschool parents. The nursing student should include which of the following interventions to improve the child's sleep?

Have the child limit fluids after supper

The nurse is performing an intake assessment of a 60-year-old patient who admits to having a "nightcap" of 4 to 6 ounces of scotch whisky each night. What effect might this alcohol be having on the patient's sleep?

Decreased REM sleep

A 78-year-old woman has recently moved to an assisted-living facility. Within the patient's documented medication regimen is a dose of an antianxiety medication each evening at bedtime as a sleep aid. The nurse would recognize that this medication carries a risk of which of the following?

Dependence

During the assessment of a client, the nurse learns that the client has difficulty falling asleep, wakes up early, and does not feel refreshed in the morning. Which nursing diagnosis would the nurse most likely identify for this client?

Disturbed sleep pattern

Which of the following activities would be appropriate to suggest to the client who states that she has difficulty falling asleep every evening?

Drink a glass of milk with a turkey sandwich.

An elderly client with mild hypothermia has been admitted to the health care facility. What should the nurse do to provide an appropriate environment to an elderly client?

Ensure that the environment is warmer

During stage 3 sleep, the client may experience

Enuresis

Which of the following statements about the sleep patterns of toddlers should the nurse incorporate into an education plan for parents?

Getting the child to sleep can be difficult

While instructing young adults about the need for adequate sleep, the nurse instructs the group that to improve sleep quality, individuals should

Have a consistent time for arising

A client reports that her naps after lunch often stretch to three hours in length and that she has great difficulty rousing herself after a nap. This condition is best termed as which of the following?

Hypersomnia

The client is sleeping, and arousal is easy. Occasionally, the client exhibits involuntary muscle jerking, which appears to startle the client. Vital signs are unchanged from one hour ago. The nurse assesses the stage of non-rapid eye movement (NREM) sleep, which the client exhibits as Stage

I.

A nurse is caring for a client diagnosed with sleep apnea. Which of the following nursing diagnoses should the nurse include in her nursing care plan?

Impaired gas exchange

A nurse at the health care facility is caring for an older adult client who complains of sleeplessness. Which of the following conditions is a manifestation of depression in an older client?

Insomnia

A nurse is explaining to an insomniac client the effect of a prescribed medication and the different phases of sleep. Which of the following statements is true for non-rapid eye movement (NREM) sleep?

It is called slow wave sleep.

A nurse is caring for a client who has been diagnosed with insomnia. What nursing intervention would help the nurse relieve the client's condition?

Maintain a calm and quiet environment free from noise.

Which natural chemical does the body produce at night to decrease wakefulness and promote sleep?

Melatonin

For the last three weeks, a 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 laying awake at night. Which of the following is the most likely explanation?

Most sedative-hypnotics lose their effect after one or two weeks of administration.

When a client tells the clinic nurse that he has irresistible sleep attacks throughout the day lasting from 10 to 15 minutes, the nurse suspects that the client may be experiencing what?

Narcolepsy

A nurse working in a health clinic assesses sleep patterns during each health assessment. Based upon the nurse's knowledge regarding sleep needs, the nurse recognizes which age group as generally needing the least amount of sleep?

Older adults

A nurse provides a back massage to a client before bedtime to promote relaxation. What is the most important intervention to consider when giving a back massage to a client?

Omit stimulating strokes on the client

A nurse is caring for an elderly client confined to bed who complains of an inability to sleep. What activity should the nurse include in the client's plan of care to promote sleep?

Performing chair exercises during the day

When a newly admitted client informs the nurse that he averages 6 hours of sleep per night, the nurse determines that this client is most likely

Sleep deprived

The nurse manager in an acute care facility has received client evaluations in which the clients have complained about excessive noise that interfered with their rest. The nurse manager and nursing staff plan to do the following. Which activity will most assist clients in obtaining rest?

Post signs for quiet and turn down hall lights during formal quiet times.

A nurse is caring for a client with sleep apnea. Which nursing intervention would be most appropriate to prevent hypoxia in the client?

Provide relief for nasal congestion

In Stage 4 sleep, the

Pulse rate is slow

When a nurse notes that the client appears to be sleeping, is demonstrating irregular respirations, and is showing eye movement, the nurse identifies the stage of sleep the client is experiencing as

Rapid eye movement (REM) Correct

Which factor necessitates the need for more sleep in the adolescent population?

Rapid growth

A nurse is reviewing the medical record of a client who complains of difficulty sleeping. Which of the following would the nurse identify as a subjective finding related to the client's sleep assessment?

Report of sleeping 2 hours per night

A nurse is caring for an elderly client with chronic back pain and a sleeping disorder. The nurse suggests some relaxation techniques to be performed before bedtime. Which of the following techniques should the nurse suggest?

Sit in a rocking chair.

Which of the following problems is associated with obesity, heavy snoring, and shallow breathing?

Sleep apnea

A nurse is caring for a client with restless leg syndrome who complains of sleeplessness. Which of the following nursing diagnoses is most appropriate for this client?

Sleep deprivation

When the nurse attempts to wake a client who has just closed his eyes and appears asleep, the client states he is not asleep. What stage of sleep is this client in?

Stage 1

A client begins snoring and is sleeping lightly. The stage of sleep is

Stage 2

A maternity nurse is instructing new parents on the proper sleeping position for their newborn child. In what position does the nurse instruct the parents to place the infant?

Supine position

The nurse is completing a sleep history on a client who reports sleeping problems. The client does the following behaviors. Which will cause the client to have difficulty with sleep?

Taking a diuretic at 9 AM and 5 PM daily

Which of the following characteristics is associated with REM sleep?

The individual's facial muscles are twitching.

Which of the following guidelines does the nurse apply to discussion of sleep patterns with older adult clients?

Total sleep time decreases as the clients age.

An elderly client complains to the nurse that he has disturbed sleep during the night due to excessive urination. What information should the nurse provide to the client with regards to his condition?

We shall change the timing of diuretics to morning