Comfort and Rest SI
school aged children need
9 to 11 hours of sleep
growth hormone released, skin and bone marrow renewal and energy conserved during which sleep
NREM sleep
the nurse can encourage a client positive expectations about drug therapy
explaining drug actions and potential side effects
true or false alcohol decreases amount of time to fall asleep and increases REM sleep
false
perception
feeling of pain
characteristics most common with chronic pain
no variations in vital signs
osteoarthritis
nociceptive, somatic pain
mild to moderate pain give
nonopioid analgesic, NSAIDS
moderate to severe pain give
opioid analgesics
transduction
pain detected
modulation
perception of pain change
neuropathic or pathologic pain from loss of body part
phantom pain
prior to initiating drug therapy in older adults nurse should assess results of
renal and hepatic function
overdose of opioids may cause
respiratory depression
opioid doses in elderly
should start 50% to 75% lower than normal adult to avoid overdose in elderly
absence of breathing when sleeping
sleep apnea
sources of pain from bone, skin, joint, muscle
somatic
patient taking enteric coated stool softener. which statement should the nurse include when teaching
swallow whole w/o chewing it
4 steps in pain perception
transduction, transmission, perception, modulation
dyssomnias
trouble getting to sleep, staying asleep, excessively sleepy
true or false nociceptive pain can be categorized as somatic or visceral
true
characteristics more common with acute pain than chronic
variations in vital signs
preferred site of injection for infants
vastus lateralis
pain from organs
visceral
deep sleep is
REM sleep
pain less than 6 months
acute
nurse should assess elderly patients for which UTI risk factor
benign prostatic hyperplasia
sleep deprivation
can lead to weight gain and obesity
client reads imodium 4mg once daily 0900 which action by the nurse is best
contact prescriber to clarify dosage route
appropriate outcome for adult with nocturia and disturbed sleep
demonstrate reduction in night time bathroom visits
Parasominas
disorder associated with abnormal sleep patterns such as sleepwalking
transmission
electrical impulse transports
most therapeutic question nurse can ask about clients sleep
how would you describe your sleep
to avoid SIDS
infant on back and on hard surface
inability to fall or stay asleep
insomina
12 year old with nocturia goals
limit fluid intake, think about waking up dry, voiding, changing wet bed
chronic pain
longer than 6 months
pain threshold
lowest intensity at which brain recognizes stimuli
