Exam 4. adaptive quizes Sleep

What drug is used to increase a patient's total sleep time? Nicotine Stimulants Antidepressants Benzodiazepines

Benzodiazepines

What percentage of sleep time in young adults is rapid eye movement (REM) sleep?

20%

Nonrapid eye movement (NREM) sleep is divided into how many stages? r.

4

A patient has narcolepsy. The nurse finds that the patient's drowsiness has increased. What advice does the nurse offer the patient to decrease drowsiness? Select all that apply. "Avoid eating heavy meals." "Avoid long-distance driving." "Avoid the consumption of alcohol." "Avoid eating a protein-rich diet." "Avoid chewing gum."

"Avoid eating heavy meals." "Avoid long-distance driving." "Avoid the consumption of alcohol."

What question should the nurse ask during the assessment of a patient who is suspected of having insomnia? "Do you snore loudly?" "How easily do you fall asleep?" "Do you have vivid, lifelike dreams?" "Do you have episodes of falling to the floor?"

"How easily do you fall asleep?" -If the nurse suspects insomnia, he or she should ask the patient how easily he or she falls asleep. During the assessment of a patient suspected to be suffering from sleep apnea, the nurse should ask if the patient snores loudly. If the nurse suspects that a patient has narcolepsy, he or she should ask if the patient has vivid, lifelike dreams or has episodes of falling to the floor.

Which is a neurohormone that promotes sleep? Kava Valerian Melatonin Ramelteon

Melatonin

What range represents the correct dose of melatonin that can be given to an adult patient?

0.3 to 1 mg

In a patient with narcolepsy, rapid eye movement (REM) sleep occurs within how many minutes of falling asleep?

15

The nurse is teaching a patient about the use of herbal medicines. Which statements by the patient indicate effective learning? Select all that apply. Herbal medicines cause insomnia." "Herbal medicines cause sleep apnea." "Herbal medicines always cause allergic reactions." "Herbal medicines may interact with prescribed medication." "Herbal medicines are not regulated by the U.S. Food and Drug Administration."

"Herbal medicines may interact with prescribed medication." "Herbal medicines are not regulated by the U.S. Food and Drug Administration."

A patient reports difficulty falling asleep. Which questions should the nurse ask to assess the patient's insomnia? Select all that apply. "How frequently do you eat out?" "How easily do you fall asleep?" "What causes you to awaken early?" "What do you think of when you try to fall asleep?" "Do you stay with your parents?"

"How easily do you fall asleep?" "What causes you to awaken early?" "What do you think of when you try to fall asleep?"

A nurse tells a patient to avoid exercising just before bedtime. How much time should be allowed between exercise and bedtime?

2 hrs

A nursing instructor asks a nursing student about sleep regulation. Which statements if made by the student indicate a need for further teaching? "L-tryptophan controls wakefulness in the body." "The hypothalamus is the major sleep center of the body." "The circadian rhythm influences the internal organization of sleep." "The homeostatic process regulates the length and depth of sleep."

"L-tryptophan controls wakefulness in the body." -L-tryptophan controls sleep; this chemical does not promote wakefulness. The hypothalamus is the major sleep center of the body. The circadian rhythm influences the internal organization of sleep. The homeostatic process regulates the length and depth of sleep.

Which statement made by a mother being discharged to home with her newborn infant indicates a need for further teaching? "I won't put the baby to bed with a bottle." "For the first few weeks we're putting the cradle in our room." "My grandmother told me that babies sleep better on their stomachs." "I know I'll have to get up during the night to feed the baby when he wakes up."

"My grandmother told me that babies sleep better on their stomachs." -"My grandmother told me that babies sleep better on their stomachs" indicates that the mother needs further teaching. She needs to be educated on the back-to-bed concept for infant sleeping. Parents should place infants on their backs to prevent suffocation and decrease the risk of sudden infant death syndrome (SIDS).

Sleep apnea is classified by how many types?

3

The nurse works in a sleep clinic. The nurse understands that sleep medicines should be administered with caution in some patients. In which patient can benzodiazepines be given safely? A 70-year-old patient with renal failure A nursing mother A 30-year-old patient A pregnant patient

A 30-year-old patient -The drug should not be administered to an older adult who has renal failure because the drug tends to remain in the body for a longer time and may have a cumulative effect. The drug may be passed into the breast milk; therefore, a nursing mother should not be prescribed benzodiazepines. Benzodiazepines can cause congenital anomalies, so they should be avoided in pregnant patients.

Which priority nursing intervention does the nurse incorporate into a plan of care to promote sleep for a hospitalized patient? Have patient follow hospital routines. Avoid awakening patient for nonessential tasks. Give prescribed sleeping medications at dinner. Turn television on low to late-night programming.

Avoid awakening patient for nonessential tasks.

A patient informs a nurse about sleep disturbances caused by jet lag. What sleep disorder does the nurse suspect? Inadequate sleep hygiene Adjustment sleep disorder Rapid eye movement (REM) sleep-behavior disorder Behaviorally induced circadian rhythm sleep disorder

Behaviorally induced circadian rhythm sleep disorder -A patient experiencing behaviorally induced circadian rhythm sleep disorder when jet lag affects the circadian rhythm. Inadequate sleep hygiene and an adjustment sleep disorder are classified as insomnias. Rapid eye movement (REM) sleep-behavior disorder is a parasomnia associated with REM sleep.

Which intervention is appropriate to include on a care plan for improving sleep in the older adult? Decrease fluids 2 to 4 hours before sleep. Exercise in the evening to increase fatigue. Allow the patient to sleep as late as possible. Take a nap during the day to make up for lost sleep.

Decrease fluids 2 to 4 hours before sleep.

The nurse is caring for a patient with hyperthyroidism. What is the nurse likely to observe in the patient? Fatigue Chest pain Sleepwalking Difficulty falling asleep

Difficulty falling asleep

The nurse is developing a plan of care for a patient experiencing narcolepsy. Which intervention is appropriate to include on the plan? Instruct the patient to increase carbohydrates in the diet. Have patient limit fluid intake 2 hours before bedtime. Preserve energy by limiting exercise to morning hours. Encourage patient to take one or two 20-minute naps during the day.

Encourage patient to take one or two 20-minute naps during the day.

What nursing intervention should the nurse provide to a patient who is diagnosed with fatigue? Encourage short naps if possible Instruct the patient to keep an exercise log Have the patient keep a sleep log for a week Use active listening when talking to patient

Encourage short naps if possible -The nurse should instruct a patient who complains of fatigue to take short naps. A patient with a sedentary lifestyle should keep an exercise log. A patient suffering from insomnia should be asked to keep a sleep log for a week. A nurse should use active listening when talking to a patient who has been diagnosed with stress overload.

Which measure is a nurse least likely to suggest to an elderly patient in order to promote sleep? Decreasing fluids 2 to 4 hours before sleep Encouraging naps as many times as possible Avoiding stimulating exercise before bedtime Increasing exposure to bright light during the day

Encouraging naps as many times as possible

What is the most common complaint by patients who have narcolepsy? Sleep paralysis Sudden muscle weakness Excessive daytime sleepiness Vivid dreams while falling asleep

Excessive daytime sleepiness

A patient is prescribed a medication that suppresses rapid eye movement (REM) sleep and increases daytime drowsiness. What is the classification of this medication? Alcohol Opiates Nicotine Hypnotics

Opiates -Opiates suppress rapid eye movement (REM) sleep and increase daytime drowsiness. Alcohol and nicotine suppress REM sleep, but do not cause daytime drowsiness. Hypnotics cause drowsiness, but do not interfere with REM sleep.

Which sleep disorder is classified as a sleep-related breathing disorder? Narcolepsy Nightmare disorder Sleep-related bruxism Primary central sleep apnea

Primary central sleep apnea

The patient reports vivid dreaming to the nurse. Through understanding of the sleep cycle, the nurse recognizes that vivid dreaming occurs during which sleep phase? REM sleep Stage 1 NREM sleep Stage 4 NREM sleep Transition period from NREM to REM sleep

REM sleep -Although dreams occur during both NREM and REM sleep, the dreams of REM sleep are more vivid and elaborate; dreams are believed to be functionally important to learning, memory processing, and adaptation to stress.

The nurse finds that an obese patient snores loudly. The patient stops breathing for a few seconds and then resumes breathing. This happens several times during sleep. What could be the diagnosis? Narcolepsy Sleep apnea Sleep deprivation Paroxysmal nocturnal dyspnea

Sleep apnea -Sleep apnea is most common in obese patients. Typical symptoms include snoring and periods of apnea. Narcolepsy occurs when a patient falls asleep unexpectedly. Sleep deprivation could result from sleep apnea. Paroxysmal nocturnal dyspnea occurs when a patient has shortness of breath during the night.

While monitoring a patient's vital signs, the nurse finds that the patient's pulse and respiration during sleep are significantly lower than during waking hours. The nurse also recalls that during this stage of sleep the body releases human growth hormone. The patient is in which nonrapid eye movement (NREM) stage of sleep? Stage 1 Stage 2 Stage 3 Stage 4

Stage 4 -During stage 4 of NREM sleep, a patient's vital signs are significantly lower than during waking hours. This is a deep, slow-wave sleep stage during which the body releases human growth hormone. Stage 1 NREM sleep is the lightest level of sleep and lasts for just a few minutes. Stage 2 NREM sleep is a period of sound sleep that lasts for 10 to 20 minutes. Stage 3 NREM sleep involves the initial stages of deep sleep lasting for 15 to 20 minutes.

Which nursing measure best promotes sleep in a school-age child? Encourage evening exercise. Offer a glass of hot chocolate before bedtime. Make sure that the room is dark and quiet. Use quiet activities consistently before bedtime.

Use quiet activities consistently before bedtime.

A sleeper's random eye movement (REM) sleep is around 30% of the sleep time. The sleeper belongs to which age group? Infants Neonates Young adults Preschoolers

infants -In infants, around 30% of the sleep time is random eye movement (REM) sleep. In neonates, around 50% of the sleep time is REM sleep. In young adults and preschoolers, around 20% of the sleep time is REM sleep.

The nurse is taking a sleep history from a patient. Which statement made by the patient needs further follow-up? "I always feel tired when I wake up in the morning." "I go to bed at the same time each night." "It takes me about 15 minutes to fall asleep." "Sometimes, I have to get up during the night to urinate."

"I always feel tired when I wake up in the morning." -This statement indicates that the patient is not experiencing quality sleep, and the statement should be followed up with more extensive questions and assessment of the problem.

The nurse is providing instructions to a patient with insomnia. Which patient statement indicates effective understanding? "I should exercise just before bedtime." "I should drink caffeine before bedtime." "I should perform muscle relaxation techniques before bedtime." "I should adjust the environment by keeping the lights on in the bedroom."

"I should perform muscle relaxation techniques before bedtime."

A nurse explains physical conditions related to sleep disorders to a patient. Which statement indicates a need for further teaching? "Nocturia is defined as urination during the night." "Restless legs syndrome (RLS) occurs before sleep onset." "Peptic ulcers predispose a patient to sleep disturbances." "Nocturia can be seen in people suffering from iron deficiency anemia."

"Nocturia can be seen in people suffering from iron deficiency anemia." -Restless leg syndrome (RLS) can be seen in people suffering from iron deficiency anemia. Nocturia is urination during the night. Restless legs syndrome (RLS) occurs before sleep onset. People with peptic ulcer disease often awaken in the middle of the night.

Which aspect of care should be included when teaching a patient with narcolepsy? The need to perform strenuous exercise The importance of avoiding caffeine A recommendation to take regular naps of no more than 20 minutes The proper method of using continuous positive airway pressure (CPAP)

A recommendation to take regular naps of no more than 20 minutes -In counseling a patient who experiences narcolepsy, the nurse should emphasize good sleep hygiene and stress the importance of maintaining a regular schedule. The nurse should emphasize getting adequate nocturnal sleep. The patient should take regular naps at the times the patient is prone to increased sleepiness. The naps should not be longer than 20 minutes. They help reduce the subjective feelings of sleepiness. The patient should avoid strenuous exercise, because it can cause drowsiness. Narcolepsy is unrelated to caffeine intake. Continuous positive airway pressure (CPAP) is helpful in improving sleep in patients with sleep apnea; it has no role in narcolepsy.

A patient reports disturbed sleep due to frequent voiding during the night. Which class of medication in the patient's prescription does the nurse expect to have caused this condition? Diuretics Hypnotics Benzodiazepines Beta-adrenergic blockers

Diuretics -Diuretics cause nocturia, which results in disturbed sleep due to frequent voiding during the night. Hypnotics, benzodiazepines, and beta-adrenergic blockers do not cause nocturia. Hypnotics cause a hangover during the day, excessive drowsiness, and confusion. Benzodiazepines increase daytime sleepiness. Beta-adrenergic blockers cause nightmares and insomnia.

Which action by the nursing assistant at bedtime requires the nurse to intervene? Giving the patient a back rub Turning on quiet music Dimming the lights in the patient's room Giving a patient a cup of coffee

Giving a patient a cup of coffee -Encourage patients not to drink or ingest caffeine before bedtime. Coffee, tea, cola, and chocolate act as stimulants, causing a person to stay awake or awaken throughout the night. Coffee, tea, colas, and alcohol act as diuretics and cause a person to awaken in the night to void.

Which activity is done during the implementation phase of the nursing process for a patient with sleep disturbances? Instructing the patient to keep an exercise log Determining the current sleep patterns of the patient Asking the patient if expectations of care are being met Reviewing the factors that promote sleep with the patient

Instructing the patient to keep an exercise log -During the implementation phase of a patient with sleep disturbances, the nurse should instruct the patient to keep an exercise log. During the assessment phase, the nurse determines the patient's current sleep patterns. During the evaluation phase, the nurse asks the patient if the expectations of care are met. The nurse reviews factors that promote sleep during the assessment phase.

An obese patient is diagnosed with obstructive sleep apnea. Which conservative approaches are included in the patient's treatment plan? Select all that apply. Limit alcohol consumption. Motivate the patient to lose weight. Recommend that the patient take sedatives. Recommend that the patient take herbal medicines. Avoid the consumption of stimulants before going to bed.

Limit alcohol consumption. Motivate the patient to lose weight. Avoid the consumption of stimulants before going to bed.

A patient is taking melatonin to improve sleep efficiency. Which side effects of melatonin are expected in the patient? Select all that apply. Nausea Dizziness Headache Skin rashes Frequent urination

Nausea Dizziness Headache -Melatonin is helpful in improving sleep efficiency and decreasing nighttime awakenings. Melatonin may produce mild side effects such as nausea, dizziness, and headache. Skin rashes and frequent urination are not side effects of melatonin.

The nurse is assessing the sleep of a patient with a sleep disorder by asking the patient to rate the quality and quantity of his or her sleep separately. Which sleep assessment tool is the nurse using for sleep assessment? Visual analog scale (VAS) Numeric rating scale Epworth Sleepiness Scale Pittsburgh Sleep Quality Index

Numeric rating scale -During subjective data collection, the nurse uses various sleep assessment tools. The numeric rating scale has a 0-to-10 sleep rating. When using this scale, the nurse asks the patient to separately rate the quality and quantity of sleep. With the VAS, the nurse asks the patient to place a mark on a horizontal line at the point corresponding to his or her perceptions of the previous night's sleep. The Epworth Sleepiness Scale evaluates the severity of excessive daytime sleepiness (EDS). The Pittsburgh Sleep Quality Index assesses sleep quality and patterns.

A patient tells the nurse about a dream that was vivid and colorful. In which stage of sleep does such a dream occur? Rapid eye movement sleep Stage 2 of nonrapid eye movement (NREM) sleep Stage 3 of nonrapid eye movement sleep Stage 4 of nonrapid eye movement sleep

Rapid eye movement sleep

What is the nurse least likely to ask parents while performing a sleep assessment of an infant? To describe the infant's eating pattern To describe the sleeping environment of the infant To keep a sleep log of the infant's sleep behavior only at night To evaluate the typical behavior patterns that foster or impair sleep

To keep a sleep log of the infant's sleep behavior only at night -The nurse should ask the parents of an infant to keep a 24-hour log of their infant's waking and sleeping behavior for several days to determine the cause of the problem. The nurse should ask about the infant's eating pattern and sleep environment because these factors influence sleep behavior. The nurse should ask the parents to describe the typical behavior patterns that foster or impair sleep.

What nursing intervention should the nurse provide to a patient who is diagnosed with stress overload? Encourage short naps if possible Instruct the patient to keep an exercise log Have the patient keep a sleep log for a week Use active listening when talking to the patient

Use active listening when talking to the patient -The nurse should use active listening when talking to a patient who has been diagnosed with stress overload. A patient who complains of fatigue should take short naps. A patient with a sedentary lifestyle should keep an exercise log. A nurse should tell the patient suffering from insomnia to keep a sleep log for a week.

Which statement made by the patient indicates a need for further teaching on sleep hygiene? "I'm going to do my exercises before I eat dinner." "I'll have a glass of wine at bedtime to relax." "I set my alarm to get up at the same time every morning." "I moved my computer to the den to do my work."

"I'll have a glass of wine at bedtime to relax." -The statement "I'll have a glass of wine at bedtime to relax" indicates a need for further teaching. Alcohol should be avoided before bed because it speeds the onset of sleep, reduces REM sleep, awakens the person during the night, and causes difficulty returning to sleep.

Which statement made by an older adult best demonstrates understanding regarding taking a sleep medication? "I'll take the sleep medicine for 4 or 5 weeks until my sleep problems disappear." "Sleep medicines won't cause any sleep problems once I stop taking them." "I'll talk to my health care provider before I use an over-the-counter sleep medication." "I'll contact my health care provider if I feel extremely sleepy in the mornings

"I'll talk to my health care provider before I use an over-the-counter sleep medication."

A nurse is teaching a patient about the major risk factors related to obstructive sleep apnea. What statement about risk factors if made by the nurse would be correct? "Obesity and hypertension are major risk factors of obstructive sleep apnea (OSA)." "Smoking and heart failure are major risk factors of obstructive sleep apnea." "Alcohol and type II diabetes are major risk factors of obstructive sleep apnea." "Smoking and a family history of obstructive sleep apnea are major risk factors of obstructive sleep apnea."

"Obesity and hypertension are major risk factors of obstructive sleep apnea (OSA)."

What intervention should the nurse perform during the evaluation phase of a patient with a sleep disturbance? Teach the patient sleep hygiene measures Review factors affecting the patient's sleep Assess the patient's response to his or her sleep level Ask the patient if his or her expectations of care are being met

Ask the patient if his or her expectations of care are being met -During the evaluation phase of the nursing process, the nurse should ask if the patient's expectations of care were met during the whole process. The nurse teaches sleep hygiene measures during the implementation phase. The nurse reviews the factors affecting a patient's sleep and assesses a patient's response to his or her sleep level during the assessment phase.

Which measure would the nurse suggest to the parents of an infant to promote safe sleeping? Place pillows and stuffed toys in the crib Give bottles to infants in bed during the night Avoid using loose-fitting plastic mattresses Make infants sleep on soft mattresses for comfort

Avoid using loose-fitting plastic mattresses -The nurse should suggest that parents not use loose-fitting plastic mattresses because infants may pull them over their faces and suffocate. The nurse should explain to parents that pillows, stuffed toys, or the ends of loose blankets should not be placed in cribs to reduce the chance of suffocation. Parents should not give infants bottles in bed. Infants should sleep on firm mattresses.

Which statement is true regarding the use of benzodiazepines? Benzodiazepines can be safely prescribed to infants. Benzodiazepines are initially taken in small dosages. Benzodiazepines can be safely used by nursing mothers. Benzodiazepines can be safely used by pregnant women.

Benzodiazepines are initially taken in small dosages. -Benzodiazepines are prescribed in a small initial dose and increments are added gradually. Benzodiazepines are contraindicated in infants younger than six months old. The use of benzodiazepines is contraindicated in nursing mothers because they are excreted in breast milk. The use of benzodiazepines is contraindicated in pregnant patients because their use is associated with a risk of congenital anomalies.

The nurse has a sleep disorder due to working rotating shifts. Which physiological symptoms are observed in the nurse? Select all that apply. Blurred vision Increased reflexes Decreased judgment Slowed response time Increased visual alertness

Blurred vision Decreased judgment slowed response time

The nurse teaches a patient taking a benzodiazepine that this group of medications causes which symptom of a sleep problem? Nocturia Hyperactivity Grogginess and feeling hung over Nightmares

Grogginess and feeling hung over -Benzodiazepines cause a hangover effect and rebound insomnia. The other sleep problems are not related to benzodiazepines. Beta-adrenergic blockers may cause nightmares. Diuretics may cause nighttime awakenings caused by nocturia.

A patient experiences menopausal symptoms such as hot flashes, mood swings, and irritability. Which sleep disorder is likely to be found in the patient? Nocturia Insomnia Obstructive apnea Central sleep apnea

Insomnia

Which intervention should the nurse perform during the planning phase of a patient with a sleep disturbance? Teach the patient about sleep hygiene measures Review factors affecting the patient's sleep Ask the patient if expectations of care are being met Involve the sleep partner in the selection of interventions

Involve the sleep partner in the selection of interventions -The nurse should involve the patient's sleep partner in the selection of interventions during the planning phase. The nurse reviews factors affecting a patient's sleep during the assessment phase. The nurse teaches a patient sleep hygiene measures during the implementation phase. The nurse asks the patient if expectations of care are being met during the evaluation phase.

What measure should the nurse suggest to a mother to promote sleep in preschoolers? Encourage co-sleeping on a soft mattress Offer warm milk before sleeping Make sure that the room is dark and quiet Offer a glass of hot chocolate before bedtime

Offer warm milk before sleeping -In order to promote sleep in a preschooler, the nurse should suggest that the mother offer warm milk before sleeping. A dairy product such as warm milk contains L-tryptophan, which helps to promote sleep. Co-sleeping should occur on a firm mattress. Because preschoolers often have bedtime fears, the room should not be completely dark. Coffee, tea, colas, and chocolate can keep a person awake.

Which drug is safe for both short-term and long-term use in older adults? Oxazepam (Serax) Lorazepam (Ativan) Ramelteon (Rozerem) Terbutaline (Bricanyl)

Ramelteon (Rozerem) -Ramelteon is a melatonin receptor agonist that is safe for long- and short-term use, particularly in older adults. Oxazepam and lorazepam are short-acting benzodiazepines that should be used in the lowest possible dose for the short-term treatment of insomnia. Terbutaline is a central nervous system stimulant that should only be used under medical supervision.

What biological function occurs when a patient is sleeping? Cortical activity decreases. Respiratory rate decreases. Oxygen consumption decreases. Epinephrine production decreases.

Respiratory rate decreases. -respiratory rate decreases during sleep. Cortical activity, oxygen consumption, and epinephrine production increase during sleep

A patient with iron deficiency anemia reports rhythmical movements of the feet and legs and an itching sensation in the muscles before sleep. Which condition is likely to be found in the patient? Insomnia Cataplexy Narcolepsy Restless legs syndrome

Restless legs syndrome -Rhythmical movements of the feet and legs and an itching sensation in the muscles before sleep are symptoms of restless legs syndrome, which is caused by iron deficiency anemia. In cataplexy, sudden muscle weakness occurs during intense emotions such as sadness, anger, or laughter. Insomnia refers to difficulty falling asleep. Narcolepsy is a dysfunction of mechanisms that regulate sleep and wake states.

Which intervention should the nurse perform during the assessment phase of the nursing process when caring for a patient with a sleep disturbance? Teach the patient sleep hygiene measures Review factors affecting the patient's sleep Ask the patient if expectations of care are being met Involve the sleep partner in the selection of interventions

Review factors affecting the patient's sleep -The nurse reviews factors affecting a patient's sleep during the assessment phase. The nurse teaches a patient sleep hygiene measures during the implementation phase. The nurse asks the patient if expectations of care are being met during the evaluation phase. The nurse should involve the patient's sleep partner in the selection of interventions during the planning phase.

A mother is unable to put her newborn baby to sleep. What measures should the nurse teach the mother to promote sleep in the newborn? Select all that apply. Put the crib near an open window. Rock the baby gently. Talk to the baby loudly. Sing a lullaby to the baby. Hold the baby snugly in a blanket.

Rock the baby gently. Sing a lullaby to the baby. Hold the baby snugly in a blanket.

A patient is diagnosed with narcolepsy. Which class of drugs does the nurse anticipate will be in the patient's treatment plan to prevent sleep attacks? Hypnotics Stimulants Anticonvulsants Benzodiazepines

Stimulants -In narcolepsy, the patient falls asleep uncontrollably at inappropriate times. These are called sleep attacks. Therefore, stimulants should be included in the patient's treatment plan to help improve alertness. Stimulants increase wakefulness and reduce sleep attacks. Hypnotics, anticonvulsants, and benzodiazepines increase drowsiness and sleeping time, so these medicines are contraindicated for narcoleptic patients.

Which sleep-related side effect is seen with the use of antidepressants and anticonvulsants? Nocturia Daytime drowsiness Decreased total sleep time Suppressed rapid eye movement (REM) sleep

Suppressed rapid eye movement (REM) sleep

A patient reports difficulty in sleeping. Which measures does the nurse suggest to promote sleep in the patient? Select all that apply. Avoid taking a warm bath. Eat a heavy meal at night. Void before going to sleep. Use extra blankets if necessary. Wear soft, cotton nightclothes.

Void before going to sleep. Use extra blankets if necessary. Wear soft, cotton nightclothes.