Sleep NUR 298

4

A client reports disturbed sleep due to itching caused by an allergy. Which medication would be prescribed to help the client sleep well and treat the allergic symptoms? 1 Cetirizine 2 Fexofenadine 3 Desloratadine 4 Chlorpheniramine

2

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. When interviewing the client, the nurse identifies that the medication has been effective when the client makes which statement? 1 "I have less pain." 2 "I have been sleeping better." 3 "My blood glucose is under control." 4 "My blood pressure is coming down."

2

A chronically ill, older client tells the home care nurse that the daughter with whom the client lives seems run-down and disinterested in her own health, as well as the health of her children, who are 5, 7, and 12 years old. The client tells the nurse that the daughter coughs a good deal and sleeps a lot. Why is it important that the nurse pursue the daughter's condition for potential case findings? 1 Tuberculosis has been rising dramatically in the general population. 2 Older adults with chronic illness are more susceptible to tuberculosis. 3 There is a high incidence of tuberculosis in children less than 12 years of age. 4 Death from tuberculosis has been generally on the decrease in the United States (Canada).

1

A client is admitted to a psychiatric hospital after a month of unusual behavior that has included eating and sleeping very little, talking and singing constantly, and going on frequent shopping sprees. In the hospital, the client is demanding, bossy, and sarcastic. Which disorder does the nurse associate with these behaviors? 1 Bipolar disorder, manic phase 2 Antisocial personality disorder 3 Obsessive-compulsive disorder 4 Chronic undifferentiated schizophrenia

3

A client is experiencing feelings of sadness and is having difficulty concentrating and sleeping. What are additional common signs and symptoms of depression that the nurse should expect when performing an assessment of this client? 1 Rigidity and a narrowing of perception 2 Alternating episodes of fatigue and high energy 3 Diminished pleasure in activities and alteration in appetite 4 Excessive socialization and interest in activities of daily living

3

At night an older client with dementia sleeps very little and becomes more disoriented. How can the nurse best limit this confusion resulting from sleep deprivation? 1 Shutting the client's door during the night 2 Applying a vest restraint when the client is in bed 3 Leaving a dim light on in the client's room at night 4 Administering the client's prescribed as-needed sedative medication

2

What would the nurse instruct the parent to refrain from doing if a 4-year-old child has nightmares on a routine basis? 1 Keeping the lights on 2 Sleeping with the child 3 Tucking in a favorite soft toy with the child 4 Leaving the room after comforting the child

4

How are toddlers different from children of other age groups? 1 Toddlers grow more rapidly than infants do. 2 Toddlers need more calories than infants do. 3 Toddlers have fewer febrile seizures than preschoolers do. 4 Toddlers sleep more during the daytime than preschoolers do.

12

On an average, how many hours of sleep would the nurse state a preschooler needs during the night? Record your answer using a whole number. _____ hours

1

The night nurse reports that a young client with paranoid schizophrenia has been awake for several nights. The day nurse reviews the client's record and finds that this client did not have an interrupted sleep pattern disorder before transfer from a private room to a four-bed room 3 days ago. What factor should the nurse identify as most likely related to the client's sleeplessness? 1 Fear of the other clients 2 Concern about family at home 3 Watching for an opportunity to escape 4 Trying to work out emotional problems

1,5

What are physiologic symptoms assessed in a client with sleep deprivation? Select all that apply. 1 Ptosis and blurred vision 2 Agitation and hyperactivity 3 Confusion and disorientation 4 Increased sensitivity to pain 5 Decreased auditory alertness

3

What change is seen when a child enters from a stage of toddlerhood to the stage of preschooler? 1 Preschoolers sleep soundly at night. 2 Preschoolers take frequent naps during the day. 3 Preschoolers get into the habit of extending bedtimes. 4 Preschoolers sleep about nine hours each night.