Sleep and rest davis edge

Breakfast is brought to a client who has been experiencing severe pain and thus little sleep. He or she is finally able to sleep due to analgesic therapy and is asleep when the tray is brought into the room. What should the nurse do in this situation?

Allow the client to sleep and have the breakfast tray brought later in the morning.

A diagnosis involving sleep patterns is typically due to a change in the environment, discomfort, fear, anxiety, and so on.

Altered Sleep Patterns

Which intervention can the nurse include in the plan of care for a client in the hospital to promote sleep and rest?

Clustering activities

caffeine

Excessive _____________ consumption and consuming caffeine late in the day can affect sleep patterns

The physician wants to monitor a client who has been having difficulty falling and staying asleep and feels unrested during the day. What intervention could be used to do this?

Have the client complete a sleep diary for 14 days.

Which part of the brain controls circadian rhythms?

Hypothalamus

In which sleep stage would a client's EEG show beta waves?

In periods of wakefulness

A 38-year-old healthy woman is being seen for her physical examination and Pap smear. During assessment, she states she lies in bed awake for hours before falling asleep and often wakes in the middle of the night and can't go back to sleep. She also states she feels exhausted in the morning and is tired all the time. She admits to feelings of irritability toward others and lack of desire to engage in social activities because she's "just too tired." What would an appropriate nursing diagnosis be for this client?

Insomnia

is often a symptom of a medical cause of inability to sleep; however, it can be used as a nursing diagnosis when it is the issue being addressed for intervention.

Insomnia

A client who has just changed to working third shift is concerned about getting enough sleep. What is the probable cause for this?

Interrupted circadian rhythm

What is the benefit of the nurse providing a back massage instead of delegating it to a NAP?

It allows fostering of the nurse-client relationship while assessing client needs.

The nurse is working with a client newly diagnosed with narcolepsy. Which treatment regimen would the nurse expect to be prescribed for this client?

Methylphenidate (Ritalin)

The nurse is caring for a client with uncontrolled type 1 diabetes mellitus and is experiencing varying blood glucose levels. Which nursing intervention should the nurse perform that may prevent sleep and rest for the client?

Monitor blood glucose levels during the night.

Which is the restful phase of sleep in which physiological function is slow?

NREM

is when a person falls asleep suddenly when standing up. This does not cause someone to thrash around and hallucinate.

Narcolepsy

usually occur in children when they wake up and thrash about and hallucinate.

Night terrors

A preoperative client has not been sleeping well for years but is having even more difficulty lately due to worry about the procedure and concern about being able to receive Ambien while in the hospital. The client states, "I really can't sleep at all without it," and has been taking the medication for several years. Even though the client will receive opioid analgesics postoperatively, the physician still prescribes Ambien. What could be the reason behind this decision?

Pain can cause sleep disturbances.

Which statement best describes parasomnia? 1.Parasomnia is when a client has difficulty falling asleep. 2.Parasomnias include sleep apnea and narcolepsy. 3.Parasomnia is a pattern of waking behavior that involves sleepwalking. 4.Parasomnia is an umbrella term that includes restless leg syndrome as a cause.

Parasomnia is a pattern of waking behavior that involves sleepwalking.

Which diagnostic test involves measuring brain wave activity, oxygen and carbon dioxide levels, and vital signs?

Polysomnography

__________ measures brain wave activity, oxygen and carbon dioxide levels, eye movement, and vital signs in a sleep lab.

Polysomnography

What priority nursing intervention does the nurse incorporate into a plan of care to promote sleep for a hospitalized client?

Schedule nursing care to avoid interrupting sleep.

Disturbances in sleep patterns are typically due to unfamiliar environments, stress, and other factors that cause temporary changes in sleep patterns.

Sleep Pattern Disturbance

can increase the risk for strokes, not decrease the risk. causes an increased sensitivity to pain. A client should get enough sleep to manage pain. makes the body less able to tolerate glucose and, in turn, increases insulin resistance. causes an increase in appetite and oral intake, which can lead to obesity.

Sleep deprivation

What is a nursing consideration for arousing a client during the (NREM) stage of sleep?

Temperature, heart rate, and blood pressure are slightly decreased.

Which high-amplitude brain waves found during sleep are common in children but rare in adults?

Theta

A client who has depression with secondary insomnia is requesting "some kind of relief" to improve his or her quality of life. What type of medication would most likely be prescribed for this client?

Tricyclic antidepressant

Watching TV in bed,specifically at bedtime, can contribute to disrupted sleep patterns and inability to naturally fall asleep.

Watching TV in bed,

When assessing a client for sleep disturbances, what is an appropriate question to address the sleeping environment?

What room temperature do you prefer?

An _________ is a device worn on the wrist or a telephone app that measures sleep wake cycles.

actigraph

Primary care providers may prescribe ___________ to promote sleep even though not approved for this purpose, as they have shown benefits for some individuals who suffer both depression and insomnia

antidepressants

Feelings of numbness, weakness, and odd feelings in the knees and legs have been seen in clients with _________. is typically seen with altered speech and facial muscles prior to the episode.

narcolepsy

Grunting, snoring, or thrashing during sleep usually is the manifestation of __________ __________ ___________

obstructive sleep apnea

This class of medications is ___________/_________ and is the first-line treatment for insomnia, and they can be either long- or short-acting.

sedative/hypnotics

A _________ _______ is a handwritten journal the client keeps for 14 days documenting sleep-wake patterns.

sleep diary

A __________ _________ is done overnight and measures what happens during sleep.

sleep study

Which changes can be noted during the deepest stage of non-REM sleep? Select all that apply. 1.Muscles relax. 2.Heart rate lowers. 3.Respirations decrease. 4.Blood pressure increases. 5.Body temperature increases.

1,2,3

How many hours of sleep per day does a newborn need?

16 to 20

A person with _________ has difficulty falling asleep at night.

Insomnia

_________ is an amino acid that converts to serotonin, which controls moods and sleep.

L-tryptophan

What is the hormone that naturally controls sleep?

Melatonin

Which sleep disorder involves a person suddenly waking up thrashing about and hallucinating?

Night terrors

The parents of a toddler report difficulty getting their child to sleep at night. The child wants to play and not go to sleep. Which intervention suggested by the nurse would be most effective?

Plan sedentary activities the last hour before bed.

occurs when a person stops breathing during sleep.

Sleep apnea

emit low-level frequencies as well as project light that can interrupt sleep patterns

Smart phones

Taking breaks every couple of hours gives the mind and body a chance to _______ and refocus.

rest

A 36-year-old male has been admitted to the medical-surgical floor for 24-hour observation due to exhaustion. The client reports difficultly falling asleep and then staying asleep for the past 5 months when he started a new job working nights. In addition, he states that since his 5th child was born, it is loud in his house, causing him to not get restful sleep when he gets home from work. He states he often works 12- to 14-hour shifts and only gets about 4 hours of sleep before having to return to work, and frequently dozes off on the job. He came to the hospital because he thinks he has "narcolepsy or something." Upon further assessment, he reports being very agitated at the slightest things and that he and his wife have been fighting a lot, and the nurse notices he looks very tired with dark circles underneath his eyes. What is the objective data in this scenario that help form the nursing care plan? Select all that apply. 1.Admitted for exhaustion 2.Looks tired with dark circles under the eyes 3.Reports being very agitated 4.Works 12 to 14 hours with only 4 hours of sleep 5.Difficulty falling asleep

1,2

The nurse is assessing the sleep-wake pattern of a client admitted to the hospital with a gastrointestinal bleed. Which findings would require a more in-depth sleep evaluation? Select all that apply. 1.Lasts for longer than 30 days 2.Wakes up four times per night 3.Snores about one night per week 4.Smokes one pack of cigarettes daily 5.Takes more than 15 minutes to fall asleep

1,2

A 38-year-old client is asking for medication for trouble falling asleep and staying asleep. The client also feels groggy and unrested during the day. What should the nurse assess for as possible etiologies? Select all that apply. 1.Watching TV while in bed 2.Sleeping with smart phone nearby 3.Caffeine consumption 4.Current medications 5.Exercise/activities

1,2,3,4

A client is concerned about having narcolepsy, as he or she has sudden involuntary episodes of sleep occurring at random times during the day. What questions should the nurse ask to further investigate the client's concern? Select all that apply. 1.How have your sleeping patterns been lately? 2.Have you experienced any slurred speech or changes in your facial muscles prior to these episodes? 3.Do you feel numbness, weakness, or unusual feelings in your knees or legs? 4.Have you recently changed shifts at work? 5.Has anyone told you that you snore or grunt while you are asleep?

1,2,3,4

What questions would best address sleep changes and problems when assessing a client's sleep history? Select all that apply. 1.How often do you experience difficulty falling asleep? 2.Do you ever experience an unpleasant creeping feeling, crawling, or tingling, relieved only by moving the legs at night? 3.Do you snore? 4.Do you grind your teeth while you sleep? 5.Do you take any sleep medications or other drugs?

1,2,3,4

An adolescent reports constant fatigue and an inability to stay awake in school. Which factors should the nurse assess for that could be interfering with sleep? Select all that apply. 1.Smart phone use 2.Drug and alcohol use 3.Caffeine consumption 4.Hectic work schedules 5.School work and studying 6.Depression, anxiety, and tension

1,2,3,5

When educating student nurses on self-care and sleep hygiene, what information should be included? Select all that apply. 1.Fatigue can cause impaired judgment and decision making. 2.If possible, take frequent breaks (e.g., every 1 to 2 hours) during the night shift. 3.Be smart about your caffeine use. 4.Use breaks and lunch hours for exercise and cardio activity. 5.Plan rest days in between consecutive work days.

1,2,3,5

In which ways can anxiety interfere with a client having a restful night's sleep? Select all that apply. 1.Tachycardia 2.Increased respirations 3.Decreased norepinephrine 4.Decreased intestinal motility 5.Increased gastric secretions

1,2,5

The nurse is educating a client with a new diagnosis of sleep apnea regarding consistent use of the continuous positive airway pressure (CPAP) machine. Which complications should the nurse instruct the client about that can occur with untreated sleep apnea? Select all that apply. 1.Angina 2.Anemia 3.Arrhythmias 4.Hypotension 5.Evening headache

1,3

A client with restless leg syndrome reports difficulty sleeping. Which factors may be the cause? Select all that apply. 1.Age 2.Shift work 3.Low iron levels 4.Antidepressants 5.Alcohol consumption

1,3,4

During middle and late childhood, kids need ___________ hours of sleep each day.

10 to 11

The nurse is discussing sleep patterns with a client who reports sleep disturbances. Which questions should the nurse ask the client to determine the cause of the sleep problem? Select all that apply. 1."What do you do for employment?" 2."Do you include exercise in your daily life?" 3."What is a typical 24-hour food intake for you?" 4."When does your spouse normally go to sleep?" 5."How many caffeinated beverages do you drink each day?"

2,3,5

The nurse is educating a group of teenagers regarding obtaining sufficient amounts of sleep. Which consequences of sleep deprivation should the nurse include in the presentation? Select all that apply. 1.Decreases risk for strokes 2.Increases sensitivity to pain 3.Intensifies insulin resistance 4.Strengthens the immune system 5.Increases the appetite and intake

2,3,5

The nurse is developing a plan of care for a client in the intensive care unit with fluid volume overload related to congestive heart failure who is receiving diuretics. Which factors can lead to altered sleep patterns for this client? Select all that apply. 1.Uncontrolled pain 2.Diagnosis of congestive heart failure 3.Hospitalization in an intensive care unit 4.Frequent urination related to diuretic use 5.Repeated interruptions throughout the day and night

3,4,5

Which neurotransmitters are related to excitatory and inhibitory sleep mechanisms? Select all that apply. 1.Glycine 2.Aspartate 3.Serotonin 4.Histamine 5.Prostaglandins 6.Acetylcholine

3,4,5,6

Young adults need ________ hours of sleep each day.

7 to 8

Adolescents need __________ hours of sleep each day.

8 to 9