Patho Upreps chapter 17

which stage of sleep is characterized by an increase in brain activity? -stage 4 -stage. 1 -stage 3 -REM sleep

REM sleep

a client is in the ICU after having a myocardial infarction informs the nurse he needs a sleeping pill because of the inability to sleep in that environment. the client states that he has never had trouble sleeping before. which type of insomnia does the nurse recognize the client is having? -chronic insomnia -Irregular sleep wake rhythm -free running sleep disorder -acute insomnia

acute insomnia

a nurse is caring for the following clients. which client should the nurse evaluate first? -a 53 year old female reporting an inability to fall asleep -an 18 year old male who appears to be sleepwalking in the hallway -a 23 year old female diagnosed with periodic limb movement disorder (PLMD) -a 47 year old male undergoing a sleep study

an 18 year old male who appears to be sleepwalking in the hallway

a nurse who works the night shift reports an inability to fall asleep at night when not on duty. this inability is related to which disruption? -estrogen level -circadian rhythm -oxygen level -diurnal rhythm

circadian rhythm

a nurse is obtaining a sleep history from a 19-year old college student. the student states that, "I sleep through my 8 am class more often than not. I just can't seem to wake up at that early hour'? the nurse suspects that the student is experiencing: -advanced sleep phase syndrome -chronic insomnia -delayed sleep phase syndrome (DSPS) -obstructive sleep apnea

delayed sleep phase syndrome (DSPS)

a 66 year old client reports to his doctor that he cannot fall asleep and, if he does, it does not last. the physical examination shows his blood pressure to be normal, he does not drink alcohol on a regular basis, and he is generally healthy. he recently started taking prednisone and he takes 81 mg aspirin daily as well as nitroglycerine for his angina, when needed. which statement about the client's sleep difficulties is mot accurate? -his aspirin is a possible cause for his sleep disturbances -his problems sleeping are normal for his age -he may be experiencing problems sleeping due to prednisone -he may be experiencing awakenings due to his nitroglycerin medication

he may be experiencing problems sleeping due to prednisone

a parent informs the nurse that their family was on vacation and woke up to the sound of a knock at the door. When they opened the door, their 8 year old child's standing at the door not knowing where he was. this was not the first occurrence of sleepwalking for this child. which objective should be the priority concern? -how many episodes a week this child is having g -Injury during an episode of sleepwalking -type of medication allergy the child has -finding the cause of the sleepwalking

injury during an episode of sleep walking

a nurse is caring for a client diagnosed with Alzheimer disease who sleeps at irregular intervals, having no consistent sleep-wake cycle. the nurse suspects that the client is experiencing: -delayed sleep phase syndrome -free running sleep disorder -Irregular sleep wake rhythms -advanced sleep phase syndrome

irregular sleep-wake rhythm

a client is being seen by a primary care physician for sleep difficulties. the client is a nurse and works rotating shifts, is complaining of insomnia, and asks the nurse if melatonin would help. what would be the most accurate response bout melatonin? -perscriptions for melatonin are proven to help with sleep -It is thought to be safe, but research is lacking -It is not safe at all and should be avoided -It is available in health stores and will help

it is thought to be safe, but research is lacking

a nurse is carrying for a client who weights 325 pounds. the client's spouse reports that the client snores loudly and stops breathing frequently while sleeping. for which possibly related symptom will the nurse asses? -excessive thirst -morning headaches -nocturia -vivid dreams

morning headaches

a public health nurse is conducting an education session for new parents. which statement by a participant about a child's sleep patterns most warrants further assessment? -my son's just 4 weeks old, and I'd estimate that he's asleep three quarters of the time -my daughter is 8 months old now, but she still only awake a few hours a day -my toddlers tends to wake up scared once or twice a week -I discovered my 5 year old sleepwalking a few days ago

my daughter is 8 months old now, but she still only awake a few hours a day

a parent has brought her 16 year old child to the hospital clinic because the child can't seem to stay awake in class. the parent states that the child usually sleeps 10-12 hours a night. the child does not remember sleeping in class; however, he describes vivid hallucinations that appear to curate the times the teacher state the child is sleeping. what sleep disorder does the admitting nurse suspect? -Insomnia -epilepsy -narcolepsy -parasomnias

narcolepsy

the spouse of a blind client calls the nurse practitioner to ask what is causing such a difficult time sleeping and what can be done. what might the client be suffering from, and which would be the most accurate response? -obstructive sleep apnea: administer melatonin daily -chronic insomnia: use bright light therapy prior to sleep -non 24 hour sleep wake syndrome: regulate wake and sleep times -free running sleep disorder: get prescription for a sleep aid

non-24 hour sleep wake syndrome: regulate wake and sleep times

a nurse has a client who has a apnea-hypopnea index (AHI) of 7. The test results indicates that the client has: -acute insomnia -obstructive sleep apnea -free running sleep disorder -delayed sleep phase disorder

obstructive sleep apnea

a nurse has a client who has an apnea-hypopnea index (AHI) of 7. the test result indicates that the client has: -acute insomnia -obstructive sleep apnea -delayed sleep phase disorder -free running sleep disorder

obstructive sleep apnea

in which stage of sleep does dreaming occur most frequently? -rapid eye movement sleep -non rapid eye movement sleep -stage 1 -stages 3 and 4

rapid eye movement sleep

a nurse is caring for a client who reports a terrifying experience of being unable to move, speak, or take a deep breath upon awakening. what has the client likely experienced? -sleep paralysis -narcolepsy -hypnagogic hallucinations -cataplexy

sleep paralysis

a nurse is caring for a client who reports a terrifying experience of being unable to move, spearheaded, or take a deep breath upon awakening. What has the client likely experienced? -cataplexy -hypnagogic hallucinations -sleep paralysis -narcolepsy

sleep paralysis

a nurse enters a client's room to administer medications and finds the client resting in bed with his eyes closed. the nurse checks the client's name bracelet and calls the client by name. The client arouses easily and states, "I must have dozed off." Which stage of sleep does the nurse recognize this client was in? -stage 4 -stage 2 -stage 3 -stage 1

stage 1

the nurse quietly enters a client' room and checks the clients intravenous infusion using a flashlight. In spite of the nurse being quiet and not turning on the lights, the client awakens easily. the client was most likely in which of sleep cycle? -stage 2 -stage 4 -stage 3 -stage 1

stage 1

a nurse is teaching sleep-promoting strategies to a client. which beverage would the nurse recommend to promote sleep? -cold beer -hot tea -hot chocolate -warm milk

warm milk

sleepwalking can occur in both adults and children. typically, what does someone who is sleepwalking do? -refuse to respond to communication from other people -go outside -fix something to eat -appear alert

refuse to respond to communication efforts of other people

a nurse is discussing sleep hygiene with a client who reports having chronic insomnia. which are appropriate recommendations. select all that apply. -avoid caffeinated beverages -maintain a quiet sleep environment that is neither too cold nor too hot -drink a glass of wine before bedtime -establish a regular wakeup time

-avoid caffeinated beverages -maintain a quiet sleep environment that is neither too cold nor too hot -establish a regular wakeup time

An older adult is likely to experience which sleep-related issues as a result of the normal aging process? (select all that apply) - appears to "hold" his or her breath while sleeping -being quite "jumpy" while sleeping -awaking several times during the night -shorter periods of deep sleep -awakened by the slightest nose

-awakening several times -shorter periods of deep sleep -appears to hold his or her breath while sleeping -awakened by slightest noise

a nurse has just returned to her home on the east coast of the US after attending a nursing conference on the west coast. which symptoms are related to circadian rhythm and may be experienced by the nurse? select all that apply. -decreased alertness and performance -Insomnia -dependent edema -ear pain -daytime sleepiness

-insomnia -daytime sleepiness -decreased alertness and performance