craven chapter 34

What is the most common method for ordering sleep medications? -Stat - p.r.n. -Single order - Daily dose

p.r.n.

The nurse should obtain a sleep history on which clients as a protocol? -only clients who have been suffering from a sleep disorder -only clients who suffer from a sleep disorder or have been unconscious -clients who suffer from a sleep disorder or who are spending time in the CCU - all clients admitted to a health care agency

all clients admitted to a health care agency

Which factor has the most influence on an individual's sleep-wake patterns? -daylight and darkness -the body's need for 8 hours of sleep - bedtime rituals -the inner biologic clock

the inner biologic clock

During the first cycle of sleep, the patient will be in REM sleep for A)1 hour B)3 minutes C)15 minutes D)6 minutes

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 A)6 weeks of age B)3 months of age C)6 months of age D)1 year of age

3 months of age

REM sleep in a toddler is about A)10% B)20% C)30% D)40%

30%

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? -Cerebral cortex -Hypothalamus - Medulla -Midbrain

hypothalamus

In Stage 4 sleep, the A)Blood pressure is elevated B)Pulse rate is slow C)Respirations are irregular D)Temperature increases

pulse rate is slow

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. -identifying specific foods that negatively impact sleep. - having the client recall the number of sleep hours each night for the past week. - asking the client's bed partner to describe the sleep problem.

reviewing the clients sleep diary for the past 2 weeks

The nurse is performing assessments on several clients at the clinic. Which client condition indicates the presence of a parasomnia? - a client who takes several hours to fall asleep each night -a child who wets the bed each night - a client whose restless leg syndrome often awakens sleep - a child who awakens with nightmares three to four times a week

a child who wets the bed each night

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 1 hour ago. The nurse assesses the stage of nonrapid eye movement (NREM) sleep, which the client exhibits as Stage: -I. - II. -III. - IV.

I

The nurse is administering medications for a group of clients. Which client will the nurse administer a benzodiazipne-like medication to? -A client who needs long-term therapy for chronic insomnia - A client who has insomnia and awakens in the middle of the night - A client who is being treated for short-term insomnia -A client who has insomnia combined with restless leg syndrome

A client who is being treated for short-term insomnia

A nurse is caring for a client who complains about sleep apnea. Which delivery device should the nurse use to administer oxygen to this client? -nasal catheter -oxygen tent -transtracheal oxygen -CPAP mask

CPAP mask

Which of the following statements about the sleep patterns of toddlers should the nurse incorporate into a teaching plan for parents? A)Nightmares are rare in toddlers B)Most toddlers fall asleep easily C)Getting the child to sleep can be difficult D)Slow-wave sleep is less than in adults

Getting the child to sleep can be difficult

A client reports periodic difficulty falling asleep. Which teaching will the nurse provide? Select all that apply. -Take intermittent daytime naps to feel refreshed. -Go on a daily walk. -Adhere to a regular schedule for waking and going to sleep. - Decrease caffeine intake. -Sleep in on weekends to catch up from weekday lack of sleep.

Go on a daily walk. Adhere to a regular schedule for walking and going to sleep. Decrease caffeine intake.

The nurse is managing the environment for clients on a busy hospital unit. Which interventions would the nurse perform to facilitate a more restful environment? Select all that apply. -Maintain a brighter room during daylight hours and dim lights in the evening. -Keep the room warm and provide earplugs and eye masks if requested. - Decrease the volume on alarms, pages, telephones, and staff conversations. -Schedule procedures separately to avoid tiring out the clients. -Medicate for pain if needed. - Keep the doors to the clients' rooms open.

Maintain a brighter room during daylight hours and dim lights in the evening. Decrease the volume on alarms, pages, telephones, and staff conversations. Medicate for pain if needed.

The nurse is admitting a client that has obesity and is diagnosed with obstructive sleep apnea (OSA). The client states, "I just wake up a lot and don't feel rested but it's not a big deal." What eductation should the nurse provide about the complications related to OSA? -OSA contributes to hypertension and heart disease. - OSA is the cause of depression. - OSA can cause a condition called respiratory alkalosis -OSA can cause you to have seizures.

OSA contributes to hypertension and heart disease

The nurse is attempting to wake a client from sleep and is having a difficult time arousing them. What stage of sleep does the nurse identify the client is experiencing? -stage 1 NREM sleep - stage 4 NREM sleep -REM rebound period -REM sleep

REM sleep

When a nurse notes that the patient appears to be sleeping, is demonstrating irregular respirations, and is showing eye movement, the nurse identifies the stage of sleep the patient is experiencing as A)Transitional B)Rapid eye movement (REM) C)Light sleep D)Slow wave

Rapid eye movement (REM)

A nurse is working with an older adult client who has been diagnosed with onset insomnia and informs the nurse about waking at least once during the night. What actions by the nurse can help promote adequate sleep? Select all that apply. -The nurse advises the client to exercise no closer than 6 hours to bedtime. - The nurse encourages the client to remove the television from the bedroom. - The nurse encourages the client to minimize caffeine intake several hours prior to bedtime. -The nurse helps the client come up with a bedtime routine that can be implemented each night. - The nurse teaches the client that shorter, unbroken sleep periods are not normal.

The nurse advises the client to exercise no closer than 6 hours to bedtime. The nurse encourages the client to remove the television from the bedroom. The nurse encourages the client to minimize caffeine intake several hours prior to bedtime. The nurse helps the client come up with a bedtime routine that can be implemented each

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 - insomnia -narcolepsy -cataplexy

bruxism

The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. The nurse notes the client is having slowed speech and focus, irritability, yawning, and that he reports severe lumbar and right leg pain. The nurse suspects a nursing diagnosis of: -Anxiety related to hospitalization. - Mobility, Impaired Physical related to Restless Leg Syndrome (RLS). -Sleep Pattern Disturbance related to acute pain. - Role Performance, Ineffective related to inability to work at occupation.

sleep pattern disturbance related to acute pain

A group of nursing students is reviewing information about the various types of altered sleep. The students demonstrate an understanding of the information when they identify which of the following as a parasomnia? Select all that apply. -sleepwalking -narcolepsy -enuresis - night terrors -restless leg syndrome

sleepwalking enuresis night terrors

When the nurse attempts to wake a patient who has just closed his eyes and appears asleep, the patient states he is not asleep. The stage of sleep the patient is in is A)Stage 1 B)Stage 2 C)Stage 3 D)Stage 4

stage 1

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? Select all that apply. -"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." - "I'm always tired and feel like I don't have much energy anymore." - "I like to keep a dim light on during the night in case I need to get up." -"I have never tried using any medicine to fall asleep."

"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."

A nurse instructor 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)"A hyperactive thyroid can make the patient sleepy all the time." B)"Women often experience fatigue due to loss of estrogen." C)"Estrogen has been shown to decrease sleep latency." D)Hypothyroidism may contribute to a lack of slow-wave sleep."

a hyperactive thyroid can make the patient sleepy all the time

A nursing instructor is speaking to a group of students regarding the effects of shift work on sleep patterns. Which pattern of work shifts has been shown to enhance work production? A)Working multiple night shifts in a row B)Working one week of day shifts then one week of night shifts C)Clockwise rotation of shifts D)Rotating between day and night shifts each week.

clockwise rotation of shifts

A student nurse is preparing a presentation on sleep hygiene practices. What information should the nurse include? Select all that apply. A)Eliminate caffeine intake 6 hours prior to bedtime. B)Do not watch television in bed. C)Use blackout or other types of curtains/blinds to keep the room as dark as possible. D)Take a warm bath prior to bedtime. E)Do 15 to 30 minutes of exercise prior to bedtime.

eliminate caffeine intake 6 hours prior to bedtime do not watch television in bed use blackout or other types of curtains/blinds to keep the room as dark as possible

Nurses who experience no difficulty working a variety of shifts are generally viewed as which type of person? A)Evening B)Afternoon C)Morning D)Nighttime

evening

A middle-age adult man has just started an exercise program. What would the nurse teach him about timing of exercise and sleep? -Exercising immediately before bedtime enhances ability to sleep. -Exercising within 2 hours of bedtime can hinder ability to sleep. -The time of day does not matter; exercise facilitates sleep. -The fatigue from exercise may be a hindrance to sleep.

exercising within 2 hours of bedtime can hinder ability to sleep

When the newly admitted patient with chronic obstructive pulmonary disease informs the nurse that she frequently awakens during the night, the nurse may notify the physician for which of the following interventions? A)A hypnotic medication B)A narcotic medication C)Low-flow oxygen D)Warm milk

low-flow oxygen

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? - "It's important to get a minimum of 8 hours sleep each night." -"More sleep equals better health, so the more sleep you can fit into your schedule, the better." -"Most adults need between 7 and 9 hours, but everyone is different." -"Sleep needs depend a lot on age, and at your age, 6 to 7 hours usually suffice."

most adults need between 7 and 9 hours but everyone is different

The nurse is caring for new parents. During her education session, the nurse instructs the parents on a newborn's sleep patterns. Newborns A)Have shorter periods of REM sleep B)Are inactive when awake C)Will nap two times per day D)Sleep 16 to 17 hours per day

sleep 16 to 17 hours per day

Which of the following problems is associated with obesity, heavy snoring, and shallow breathing? A)Sleep apnea B)Narcolepsy C)Hypersomnia D)Hyperpnea

sleep apnea

When a newly admitted patient informs the nurse that he averages 6 hours of sleep per night, the nurse determines that this patient is most likely A)In need of sleeping pills B)Sleep deprived C)Getting efficient sleep D)In need of a sleep clinic visit

sleep deprived

A patient states to the nurse during a sleep assessment that it takes her more than 30 minutes to fall asleep. The patient states it increases her anxiety. This is considered A)Sleeplessness B)Sleep anxiety C)Sleep disturbance D)Sleep latency

sleep latency

The nurse is caring for a client with narcolepsy. The client reports experiencing being unable to move upon awakening from sleep. The client's spouse states that the client makes sandwiches in the middle of the night, yet the client does not recall this behavior. How does the nurse document these concerns? -sleep paralysis and hypnogogic hallucinations -cataplexy and hypnogogic hallucinations -hypnogogic hallucinations and sleep paralysis -sleep paralysis and automatic behavior

sleep paralysis and automatic behavior

A patient begins snoring and is sleeping lightly. The stage of sleep is A)Stage 1 B)Stage 2 C)Stage 3 D)Stage 4

stage 2

A nurse on the night shift checks on a client and suspects that the client is in REM sleep. Which client cue is indicative of this stage of sleep? -The client's eyes dart back and forth quickly -The client has a slow, regular pulse. - The client's metabolism and body temperature have decreased. -The client's blood pressure decreases.

the clients eyes dart back and forth quickly

The nurse is preparing a care plan for a patient with insomnia. Which of the following would be an appropriate outcome criteria for the goal that the patient will report fewer problems falling asleep. A)The patient will fall asleep faster. B)The patient will report a decrease in sleep latency to 10 to 15 minutes within 30 days. C)The nurse will administer the patient's hypnotic at bedtime each night. D)The nurse will give the patient a backrub at bedtime each night.

the patient will report a decrease in sleep latency to 10 to 15 minutes within 30 days

A client reports to the nurse, "Sleep really isn't necessary." Which teaching by the nurse is appropriate? Select all that apply. - "Sleep helps your blood flow to the brain." -"Sleep can make your moods fluctuate over time." -"Sleep helps you to learn easier and remember more." -"Sleep takes time, which can be stressful for some people." -"Sleep helps your immune system to fight off infections."

"Sleep helps your blood flow to the brain." "Sleep helps you to learn easier and remember more." "Sleep helps your immune system to fight off infections."

The pediatric nurse teaches parents about normal sleep patterns in their children. Which education point should the nurse include? -Teach parents of infants to report any eye movements, groaning, or grimacing by their infant during sleep periods. - Advise parents that waking from nightmares or night terrors is common during the adolescent stage. - Inform parents about the preschool child's awareness of the concept of death possibly occurring and encourage parents to help alleviate the child's fears. -Inform parents that daytime napping decreases during the preschool period, and, by the age of 5 years, most children no longer nap.

Inform parents that daytime napping decreases during the preschool period, and, by the age of 5 years, most children no longer nap.

A school nurse is speaking to a group of parents regarding the sleep needs of adolescents. Which statement by a parent indicates a need for further education? A)"Adolescents naturally develop an 'owl like' sleep pattern in which they go to bed later and sleep later in the morning." B)"Academic performance in adolescents is good when they sleep about 7 hours per night." C)"Adolescents catch up on sleep on the weekends, when they typically sleep later." D)"Adolescent girls are more likely to develop insomnia than boys."

academic performance in adolescents is good when they sleep about 7 hours per night

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 - Causes a change in the circadian rhythms -Decreases impulses to the cerebral cortex -Stimulates the reticular activating system

activates the receptors for the hormone melatonin

Which group of terms best describes sleep? - decreased state of activity, refreshed altered -altered consciousness, relative inactivity - comatose, immobility -alert, responsive

altered consciousness, relative inactivity

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. - take a prescribed sedative before trying to sleep. -insert an oral appliance prior to attempting sleep. -apply a facial mask that will deliver positive air pressure.

anticipate sleeping overnight at a health care center

The nurse is educating a client about nonpharmacologic measures to alleviate restless leg syndrome (RLS). Which education points would the nurse include in the plan? Select all that apply. -drinking a cup of coffee before bed can help relieve the tingling sensations -applying heat or cold to the extremity can help relieve the symptoms - an alcoholic drink is recommended before bed to relax the client -Biofeedback and TENS can help relax the client and relieve symptoms -massaging the legs may relieve symptoms -A mild analgesic before bed can help relieve symptoms

applying heat or cold to the extremity can help relieve the symptoms Biofeedback and TENS can help relax the client and relieve symptoms massaging the legs may relieve symptoms

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 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? -Obtain a p.r.n. order for a sedative hypnotic from the client's physician. -Educate the client on relaxation techniques and reduce noise levels on the unit. - Facilitate a change in the client's diet to ensure more carbohydrates at dinner. -Assess the factors that the client believes contribute to the problem.

assess the factors that the client believes contribute to the problem

A nurse working the night shift understands the importance of enhancing the sleep patterns of his patients. In order to do so, he should A)Only wake them for the 12:00 AM and 4:00 AM vital signs B)Allow the patient time to sit at the desk to enhance better rest C)Evaluate the sleep response of the patient with a polysomnogram D)Cluster activities to allow 90 to 120 minutes of sleep

cluster activities to allow 90 to 120 minutes of sleep

The nurse is performing an intake assessment of a 60-year-old client 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 client's sleep? - shorter sleep cycles - increased amount of total sleep -decreased REM sleep -increased stage IV NREM sleep (delta sleep)

decreased REM sleep

A nurse working the night shift assesses a client's vital signs at 4 a.m. (0400). What would be the expected findings, based on knowledge of NREM sleep? -Decreased TPR and BP -Increased TPR and BP -No change from daytime readings - Highly individualized, cannot predict

decreased TPR and BP

Which physiologic change occurs during non-rapid eye movement (NREM) sleep? -absence of muscle tone -unregulated body temperature - increased sympathetic nerve activity from wakefulness - decreased brain activity from wakefulness

decreased brain activity from wakefulness

A 78-year-old woman has recently moved to an assisted-living facility. Within the client'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: -dependence. - respiratory depression. - night terrors. -seizures.

dependence

During the assessment of a client, the nurse learns that the client lives with constant fatigue caused by awakening two to three times during the night. Which nursing diagnosis would the nurse most likely identify for this client? -sleep deprivation - disturbed sleep pattern -insomnia - increased sleep latency

disturbed sleep pattern

The nurse is preparing a care plan for a patient recently diagnosed with obstructive sleep apnea. The patient complains of daytime sleepiness, fatigue and excessive snoring that "wakes me up". What nursing diagnosis would be appropriate for this patient? A)Disturbed Sleep Pattern as evidenced by complaints of daytime sleepiness B)Disturbed Sleep Pattern related to obstructive sleep apnea as evidenced by excessive snoring C)Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring D)Disturbed Sleep Pattern related to obstructive sleep apnea

disturbed sleep pattern related to periods of apnea as evidenced by excessive snoring

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? -In what way does the sleep you get each day affect your everyday living? - How much sleep do you think you need to feel rested? -What do you usually do to help yourself fall asleep? -Do you usually go to bed and wake up about the same time each day?

do you usually go to bed and wake up about the same time each day?

Which of the following activities would be appropriate to suggest to the patient who states that she has difficulty falling asleep every evening? A)Take a warm shower before bedtime B)Drink a glass of milk with a turkey sandwich C)Exercise vigorously for 30 minutes before sleep D)Clean the bedroom prior to falling asleep

drink a glass of milk with a turkey sandwich

During stage 3 sleep, the patient may experience A)Enuresis B)Anxiety C)Diaphoresis D)Shortness of breath

enuresis

The nurse is caring for a client who reports insomnia. The client has recently moved from an area near a fire station in the inner city to the country. Which recommendation will the nurse make to facilitate sleep? -Enjoy the peace and quiet of the country. -Find a phone app that plays sounds of the city. -Avoid eating right before bedtime. - Ingest 1 ounce of liquor before going to sleep.

find a phone app that plays sounds of the city

What independent nursing action can be used to facilitate sleep in hospitalized clients who are on bed rest? -administering prescribed sleep medications -changing the bed with fresh linens -encouraging naps during the daytime -giving a back massage

giving a back massage

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? A)Have the child limit fluids after supper B)The child should drink milk at bedtime C)The parents should keep the child up until 10 PM D)The child should sleep with the parents

have the child limit fluids after supper

A client reports that her naps after lunch often stretch to 3 hours in length and that she has great difficulty arousing herself after a nap. This condition is best termed as which of the following? - insomnia - parasomnia -hypersomnia -sleep apnea

hypersomnia

A student nurse is preparing a presentation regarding hypnotic medications. What information should the student nurse include? Select all that apply. A)Hypnotics induce a normal sleep pattern. B)Hypnotics may impair waking in a patient. C)Hypnotics are safe for long-term use. D)Hypnotics may be addictive. E)Tapering of doses may be required after long-term use.

hypnotics may impair waking in a patient hypnotics may be addictive tapering of doses may be required after long-term use

A nurse is caring for a client who is sleeping for abnormally long periods of time. This condition may be caused by injury to which body structure? -Spinal cord -Pancreas -Hypothalamus -Thyroid

hypothalamus

Which expected outcome demonstrates the effectiveness of a plan of care to promote rest and sleep? -verbalizes inability to sleep without medications - continues to read in bed for hours each night -identifies factors that interfere with normal sleep pattern -reports minimal improvement in quality of rest and sleep

identifies factors that interfere with normal sleep pattern

The client, who is a male, states his wife complains that his snoring awakens her at night. The spouse is present. To obtain further data, the nurse asks the spouse: - "How loud is his snoring?" - "Is there silence after snoring that then is followed with a snort?" -"How long does he snore each night?" - "How often are you awakened at night due to his loud snoring?"

is there silence after snoring that then is followed with a snort

Which natural chemical does the body produce at night to decrease wakefulness and promote sleep? - melatonin - serotonin - endorphins -dopamine

melatonin

For the last 3 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 lying awake at night. What is the most likely explanation? - The nurse needs to administer another drug such as diphenhydramine for effectiveness. - The client's daily activity is interfering with the drug. -Most sedative hypnotics lose their effect after 1 or 2 two weeks of administration. -The client is eating protein prior to bedtime.

most sedative hypnotics lose their effect after 1 or 2 two weeks of admininistration

When a patient tells the clinic nurse that he has irresistible sleep attacks throughout the day lasting from 10 to 15 minutes, the nurse suspects that the patient may be experiencing A)Cataplexy B)Narcolepsy C)Insomnia D)Prolonged latency

narcolepsy

The nurse is assessing a client for sleep disorders. The initial step in sleep assessment is: -measure neck circumference and auscultate the abdomen. -observe the client's hours of sleep and review the client's sleep diary. -auscultate the lung fields and perform neuro checks. -measure the client's weight and assess visual acuity.

observe the clients hours of sleep and review the clients sleep diary

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 - infants - adolescents -young adults

older adults

What is the rationale for using CPAP to treat sleep apnea? -Positive air pressure holds the airway open. -Negative air pressure holds the airway closed. -Delivery of oxygen facilitates respiratory effort. -Alternating waves of air stimulate breathing.

positive air pressure holds the airway open

The nurse is completing a sleep history on a client who reports sleeping problems. Which of the client's regular behaviors will cause the client to have difficulty with sleep? -exercising immediately after getting off work at 5 p.m. -drinking 2 cups of coffee every morning -using a white noise machine to mask outside noise - taking a diuretic at 9 a.m. and 5 p.m.

taking a diuretic at 9 am and 5 pm

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 take the following actions. Which action will most assist clients in obtaining rest? - Ensure clients are offered prescribed sleeping medications at bedtime. - Provide a small carbohydrate snack or juice prior to hours of sleep. - Post signs for quiet and turn down hall lights during formal quiet times. - Adjust the temperature of the room to 74°F (23.3°C) and provide a blanket.

post signs for quiet and turn down hall lights during formal quiet times

A new client in the medical-surgical unit complains of difficulty sleeping and is scheduled for an exploratory laparotomy in the morning. The nursing diagnosis is Sleep Pattern Disturbance: Insomnia related to fear of impending surgery. Which step is most appropriate in planning care for this diagnosis? -Help the client maintain normal bedtime routine and time for sleep. - Provide an opportunity for the client to talk about concerns. - Use tactile relaxation techniques, such as a back massage. - Bring the client a warm glass of milk at bedtime.

provide an opportunity for the client to talk about concerns

A nurse is caring for a client with sleep apnea. Which nursing intervention would be most appropriate to prevent hypoxia in the client? - Encourage physical exercises. - Provide milk before sleeping. - Provide a back massage before sleep. -Provide relief for nasal congestion.

provide relief for nasal congestion

A nurse is caring for a client with insomnia. The nurse is explaining the importance of sleep to the client. Which role is sleep supposed to play? - eliminate fat accumulation -reduce protein synthesis -reduce fatigue - decrease pain tolerance

reduce fatigue

A nurse is caring for a client diagnosed with sleep apnea. Which nursing diagnosis should the nurse include in her nursing care plan? -Impaired Bed Mobility - Impaired Gas Exchange -Risk for Injury -Relocation Stress Syndrome

relocation stress syndrome

A patient has voiced concerns about her inability to fall asleep. When reviewing her history, what information would the nurse expect to find? Select all that apply. A)Smokes 1 pack of cigarettes daily B)Drinks coffee with all meals C)History of hyperthyroidism D)Exercises 30 to 60 minutes daily E)Works 30 hours per week

smokes 1 pack of cigarettes daily drinks coffee with all meals history of hyperthyroidism

A client with insomnia is prescribed a hypnotic. When educating the client about using the medication, which statement would the nurse be least likely to include? - "These medications are useful for the short term." - "Start with the largest dose and work your way down to a smaller dose." -"Be careful when you get up at night to use the bathroom." - "These medications are associated with some side effects."

start with the largest dose and work your way down to a smaller dose

A 62-year-old woman informs the nurse that her mother has been anxious and disoriented in the morning, and that she sleeps 4 hours per night, while getting up from sleep to use the bathroom. What factor in the client's health regimen could interfere with healthy sleep? -taking diuretic medicine at 10 a.m. and 10 p.m . -drinking iced tea in the afternoon -sleeping with cotton socks on -not taking a nap to supplement the short sleep cycle

taking diuretic medicine at 10 am and 10 pm

The nurse is caring for a client who is having difficulty sleeping. Which medication does the nurse anticipate will be prescribed by the health care provider? -temazepam - furosemide - amlodipine - simvastatin

temazepam