Prep U-Ch. 34

A nurse is visiting the home of a first-time mother and her newborn. The nurse is teaching the mother about the newborn's sleep needs. The nurse would inform the mother that newborns sleep approximately how many hours per day? -8 to 10 hours each day -18 to 22 hours each day -14 to 20 hours each day -10 to 12 hours each day

14 to 20 hours each day

A new mother calls the pediatric nurse to talk about her baby, who sleeps "all day long." The nurse informs the new mother that an infant requires how many hours of sleep? -8 to 9 hours each day -9 to 12 hours each day -14 to 20 hours each day -12 to 14 hours each day

14-20 hours each day

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? -Stimulates the reticular activating system -Activates the receptors for the hormone melatonin -Decreases impulses to the cerebral cortex -Causes a change in the circadian rhythms

Activates the receptors for the hormone melatonin

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? -Assess the factors that the client believes contribute to the problem. -Educate the client on relaxation techniques and reduce noise levels on the unit. -Obtain a p.r.n. order for a sedative hypnotic from the client's physician. -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.

The nurse awakens a client while the client is experiencing rapid eye movement sleep. What statement made by the client indicates they were awakened during REM sleep? -"I heard you immediately when you came in my room." -"It feels like I just went to sleep." -"I feel really cold." -"I was having a great dream and I remember all of it."

"I was having a great dream and I remember all of it."

The nurse is promoting bedtime rituals with a family. Which statement indicates the nurse may need to provide further instructions to the mother? -"I let the kids have a snack of peanut butter crackers or fruit shortly before bed." -"My daughter sleeps soundly when she has her bear in bed with her and the night light is on." -"My boys love to roughhouse in their room right before bedtime." -"Our rituals include a short bedtime story each night."

"My boys love to roughhouse in their room right before bedtime."

A nurse is caring for a client who has been diagnosed with a disturbed sleep pattern. Which measures should the nurse implement to promote sleep? Select all that apply. -Assisting with progressive relaxation -Promoting daytime exercises -Increasing the intake of stimulating chemicals -Administration of diuretics -Providing a back massage

Assisting with progressive relaxation, promoting daytime exercises, providing a back massage

What factor has been hypothesized by researchers regarding current thoughts on sleep? -Chronic sleep deprivation is present. -More sleep is obtained through napping. -The current population requires less sleep. -The population is healthier due to sleep.

Chronic sleep deprivation is present.

During an orientation class for new RN graduates, the nurse educator identifies which conditions as potential risks for clients to experience sleep pattern disturbance? Select all that apply. -constipation -stroke -substance use -glaucoma -depression -type 1 diabetes mellitus

Constipation, stroke, substance use, depression

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

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

Which activity would be appropriate to suggest to the client who reports having difficulty falling asleep every evening? -Exercise vigorously for 30 minutes before bedtime. -Eat some crackers with peanut butter at bedtime. -Smoke a cigarette to relax and calm down at bedtime. -Eat a bar of a favorite chocolate before bedtime.

Eat some crackers with peanut butter at bedtime.

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? -Ingest 1 ounce of liquor before going to sleep. -Enjoy the peace and quiet of the country. -Find a phone app that plays sounds of the city. -Avoid eating right before bedtime.

Find a phone app that plays sounds of the city.

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? -Hypothalamus -Medulla -Cerebral cortex -Midbrain

Hypothalamus

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. -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. -Advise parents that waking from nightmares or night terrors is common during the adolescent stage. -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 nurse at the health care facility is caring for an older adult client who complains of sleeplessness. Which condition is a manifestation of depression in an older client? -somnambulism -insomnia -nightmares -nocturnal enuresis

Insomnia

The nurse is caring for a client on the acute care unit who experiences automatic behaviors associated with narcolepsy. What is the priority nursing intervention? -Ask the client about willingness to explore taking an antidepressant to reduce symptoms associated with atypical REM sleep. -Educate the client about other symptoms that may be experienced, such as sleep paralysis. -Contact the health care provider to consider prescribing a stimulant drug. -Keep the client safe by monitoring ambulation on the unit.

Keep the client safe by monitoring ambulation on the unit.

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 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. -The nurse needs to administer another drug such as diphenhydramine for effectiveness.

Most sedative hypnotics lose their effect after 1 or 2 two weeks of administration.

The nurse is caring for new parents. During her education session, the nurse instructs the parents on a newborn's sleep patterns. Which statement is accurate about a newborn's sleep patterns? -Newborns will nap two times per day. -Newborns are inactive when awake. -Newborns have shorter periods of REM sleep. -Newborns sleep 16 to 17 hours per day.

Newborns sleep 16 to 17 hours per day.

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? -Bring the client a warm glass of milk at bedtime. - Provide an opportunity for the client to talk about concerns. -Use tactile relaxation techniques, such as a back massage. -Help the client maintain normal bedtime routine and time for sleep.

Provide an opportunity for the client to talk about concerns.

Which factor necessitates the need for more sleep in the adolescent population? - increased nutritional needs -part-time employment -increased life stresses -rapid growth

Rapid growth

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 client begins snoring and is sleeping lightly. The stage of sleep is: - stage 4 -stage 1 -stage 3 -stage 2

Stage 2

A maternity nurse is instructing new parents on the proper sleeping position for their newborn child. In what position does the nurse instruct the parents to place the infant? -Prone position -High-Fowler's position -Side-lying position -Supine position

Supine position

A newly admitted client states to the nurse, "I average about 5.5 hours of sleep per night." What determination of this client's sleep patterns does the nurse discuss with the client? -They are an efficient sleeper. -They are sleep deprived to some degree. -They are in need of a sleep clinic visit. -They are in need of medication to aid sleep.

They are sleep deprived to some degree.

The client is scheduled for a polysomnography to determine if the client has obstructive sleep apnea (OSA). The nurse instructs the client to: -apply a facial mask that will deliver positive air pressure. -anticipate sleeping overnight at a health care center. -insert an oral appliance prior to attempting sleep. -take a prescribed sedative before trying to sleep.

anticipate sleeping overnight at a health care center.

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

observe client's hours of sleep and review client's sleep diary

In Stage 4 sleep, the: -blood pressure is elevated -temperature increases -pulse rate is slow -respirations are irregular

pulse rate is slow

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? -simvastatin -amlodipine -furosemide -temazepam

temazepam

An 82-year-old client is newly admitted to an assisted living facility. Which intervention promotes safety at night for the client? -administering diuretics at bedtime -using a night light in the bathroom -leaving the door open to the nursing hallway -leaving a bright light on in the bathroom

using a night light in the bathroom