chapter 43

Which point would be included in a teaching session for a group of high school students about health-promoting behaviors that improve sleep? Select all that apply. One, some, or all responses may be correct.

don't study in bed turn off cell phones at bedtime avoid drinking coffee or soda before bedtime

Which complaint is common in patients with obstructive sleep apnea?

fatigue

Which action by the assistive personnel at bedtime requires the nurse to intervene?

giving a patient a cup of coffee

The nurse teaches a patient taking a benzodiazepine that this group of medications causes which side effect?

hungover feeling

Which condition is associated with early morning wakefulness and fatigue?

hypertension

Which sleep disorder would the nurse monitor for in a woman who experiences menopausal symptoms such as hot flashes, mood swings, and irritability?

insomnia

Which type of anemia will likely lead to restless legs syndrome?

iron

Which event does the nurse discuss while explaining rapid eye movement (REM) sleep

muscle atonia

Which parameter does an electromyogram (EMG) monitor in a patient diagnosed with a sleep disorder?

muscle tone

Which measure would the nurse suggest to a parent to promote sleep in a preschooler?

offer warm milk before sleeping

Which class of drug does the nurse suspect is responsible for the patient reporting daytime drowsiness and a lack of dreams?

opiates

The patient who tells the nurse about a dream that was vivid and colorful would have be in which stage of sleep?

rapid eye movement

Which condition will likely result when a person is moderately fatigued because of exercising 2 hours before bedtime?

restful sleep

Which measure would the nurse teach the mother to promote sleep in the newborn? Select all that apply. One, some, or all responses may be correct

rock sing hold

Which sleep-related side effect is seen in both antidepressants and anticonvulsants?

Suppressed rapid eye movement (REM) sleep

Which statement made by an older adult demonstrates understanding regarding taking a sleep medication?

"I'll talk to my health care provider before I use an over-the-counter sleep medication."

Which statement made by the patient needs further follow-up from the nurse?

"I always feel tired when I wake up in the morning."

How many hours of sleep are typically required to prevent fatigue in a 6-year-old child?

12 hours

Which action would the nurse take for a patient who is diagnosed with fatigue?

encourage short naps if possible

Which instruction does the nurse provide to the patient to reduce sleep attacks when taking armodafinil? Select all that apply. One, some, or all responses may be correct.

"Avoid sitting in hot, stuffy rooms for long periods." "Avoid consuming alcohol and heavy meals." "Avoid traveling long distances."

Which statement by the patient indicates effective learning about the use of herbs for sleep? Select all that apply. One, some, or all responses may be correct.

"Herbal medicines are not regulated by the US Food and Drug Administration." "They may interact with prescribed medication."

Which question would the nurse ask to assess the patient's insomnia? Select all that apply. One, some, or all responses may be correct.

"What do you think of when you try to fall asleep?" "What causes you to awaken early? "How easily do you fall asleep?"

How long before bedtime should a patient take melatonin? Record your answer using a whole number._______________________ hours

2

What percentage of sleep time in young adults is rapid eye movement (REM) sleep? Record your answer using a whole number. _____________ %

20

Nonrapid eye movement (NREM) sleep is divided into how many stages, according to the American Academy of Sleep Medicine? Record your answer using a whole number. _________ stages

3

sleep apnea is classified by how many types?

3

Which patient finding is the nurse likely to observe when performing assessments?

An infant taking several naps during the day

Which patient can safely receive benzodiazepines for sleep?

A 30 year old pt

Which intervention is priority for the nurse to suggest to the patient who reports fatigue?

Plan rest periods in between daily activities for better balance.

Which factor may contribute to a patient's fatigue and insomnia from abusing alcohol? Select all that apply. One, some, or all responses may be correct.

Awakening often during sleep Reduced rapid eye movement sleep

Which type of sleep disorder does the nurse suspect when a patient has jet lag?

Behaviorally induced circadian rhythm sleep disorder

Which effect will likely occur in a patient who takes an antidepressant for depression?

Decreased total sleep time

Which symptom is likely to be found in the patient who has obstructive sleep apnea? Select all that apply. One, some, or all responses may be correct.

Difficulty concentrating Decreased sex drive Loud snoring

Which intervention is appropriate to include in the plan of care for a patient experiencing narcolepsy?

Encourage patient to take one or two 20-minute naps during the day.

Which symptom is the most common complaint by patients who have narcolepsy?

Excessive daytime sleepiness

Which information would the nurse include in a teaching session to promote sleep?

Exercise 2 hours before bedtime.

Which information is true about gender disparities in patients with sleep disorders?

Insomnia is the most common sleep disorder in women.

Which nursing intervention would the nurse provide to promote sleep in a patient with a sedentary lifestyle?

Instruct the patient to keep an exercise log.

Which common symptom does the patient likely report when being evaluated for obstructive sleep apnea? Select all that apply. One, some, or all responses may be correct.

Irritability Excessive daytime sleepiness Morning headache

Which sleep deprivation symptom will the nurse likely find in a patient who has insomnia? Select all that apply. One, some, or all responses may be correct.

Irritability agitation Decreased visual alertness

Which conservative approach is included in the patient's treatment plan for obstructive sleep apnea? Select all that apply. One, some, or all responses may be correct.

Motivate the patient to lose weight. Limit alcohol consumption. Use jaw and tongue repositioning devices at night

Which nursing intervention would the nurse provide to a patient who is diagnosed with stress overload?

Use active listening when talking to the patient.

Which nursing measure promotes sleep in a school-age child?

Use quiet activities consistently before bedtime.

Which advice would the nurse give to a patient who falls asleep uncontrollably at inappropriate times and has vivid dreams during such times? Select all that apply. One, some, or all responses may be correct.

avoid alcohol avoid heavy meals avoid long distance driving

Which physiological symptom is observed in the nurse who has a sleep disorder because of working rotating shifts? Select all that apply. One, some, or all responses may be correct.

blurred vision decreased judgment slowed response time

Which condition will the nurse focus the care plan on when caring for a patient who says, "I feel sleepy, fatigued, and depressed during the daytime?"

chronic insomnia

Which patient effect can be caused from the noise generated during the delivery of care? Select all that apply. One, some, or all responses may be correct.

delayed healing increased agitation impaired immune function.