Rest & Sleep

A nurse is caring for a client with insomnia. Which teaching will the nurse provide to help the client improve sleep? A. "Create a bedtime routine." B. "Limit fluids in the evening." C. "Eat a heavy meal for dinner." D. "Watch television in bed before sleep."

A. "Create a bedtime routine."

A client in his 40s has asked the nurse how much sleep he should be getting in order to maximize his health and well-being. How should the nurse respond? A. "Most adults need between 7 and 9 hours, but everyone is different." B. "It's important to get a minimum of 8 hours sleep each night." C. "More sleep equals better health, so the more sleep you can fit into your schedule, the better." D. "Sleep needs depend a lot on age, and at your age, 6 to 7 hours usually suffice."

A. "Most adults need between 7 and 9 hours, but everyone is different."

The nurse is educating a client who has a sleep disorder and suggests trying stimulus control to improve the amount and quality of sleep. What would the nurse state to the client about stimulus control? A. Use the bedroom for sleep and sex only. B. Use the bedroom for reading and eating. C. Go to bed at varied times each night. D. Sleep alone with minimal coverings.

A. Use the bedroom for sleep and sex only.

A nurse is reviewing the medication administration record. Which order does the nurse question? A. a diuretic administered twice daily at 9 a.m. and 9 p.m. B. a diuretic administered once daily at 9 a.m. C. a diuretic administered twice daily at 9 a.m. and 5 p.m. D. a diuretic administered every other day at noon

A. a diuretic administered twice daily at 9 a.m. and 9 p.m.

A client describes difficulty falling asleep and difficulty maintaining sleep, and reports daytime fatigue and inability to concentrate. The nurse suggests which noninvasive techniques that may help promote restful sleep? Select all that apply. A. waking at the same time every morning B. removing bedtime distractions such as watching television in bed C. practicing relaxation techniques D. 20 minutes on the treadmill or elliptical just before bedtime E. taking alternative remedies such as melatonin or valerian root

A. waking at the same time every morning B. removing bedtime distractions such as watching television in bed C. practicing relaxation techniques

The client, who is a male, states his wife complains that his snoring awakens her at night. The spouse is present. To obtain further data, the nurse asks the spouse: A. "How loud is his snoring?" B. "Is there silence after snoring that then is followed with a snort?" C. "How long does he snore each night?" D. "How often are you awakened at night due to his loud snoring?"

B. "Is there silence after snoring that then is followed with a snort?"

A client with a diagnosis of insomnia is returning to share the success of the sleep plan. Which is the best indication that the client met the goal of restful sleep? A. Client describes the dreams experienced. B. Client verbalizes feeling rested. C. Client identifies how many NREM cycles progressed through nightly. D. Client can explain the direct actions of the hypnotic prescribed.

B. Client verbalizes feeling rested.

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

B. Eat some crackers with peanut butter at bedtime.

What independent nursing action can be used to facilitate sleep in hospitalized clients who are on bed rest? A. administering prescribed sleep medications B. changing the bed with fresh linens C. encouraging naps during the daytime D. giving a back massage

D. giving a back massage

A perimenopausal woman reports insomnia. Which intervention(s) will the nurse suggest to the client? Select all that apply. A. Nap frequently during the day to make up for the lost sleep at night. B. Eliminate caffeine and alcohol in the evening because both are associated with disturbances in the normal sleep cycle. C.Exercise vigorously before bedtime to promote drowsiness. D. Eat a small snack of protein and carbohydrate before bedtime. E. Discuss the use of a sleep aid with the health care provider.

B. Eliminate caffeine and alcohol in the evening because both are associated with disturbances in the normal sleep cycle. D. Eat a small snack of protein and carbohydrate before bedtime. E. Discuss the use of a sleep aid with the health care provider.

A middle-age adult man has just started an exercise program. What would the nurse teach him about timing of exercise and sleep? A. Exercising immediately before bedtime enhances ability to sleep. B. Exercising within 2 hours of bedtime can hinder ability to sleep. C. The time of day does not matter; exercise facilitates sleep. D. The fatigue from exercise may be a hindrance to sleep.

B. Exercising within 2 hours of bedtime can hinder ability to sleep.

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

B. Find a phone app that plays sounds of the city.

A client reports periodic difficulty falling asleep. Which teaching will the nurse provide? Select all that apply. A. Take intermittent daytime naps to feel refreshed. B. Go on a daily walk. C. Adhere to a regular schedule for waking and going to sleep. D. Decrease caffeine intake. E. Sleep in on weekends to catch up from weekday lack of sleep.

B. Go on a daily walk. C. Adhere to a regular schedule for waking and going to sleep. D. Decrease caffeine intake.

The nurse makes the following assessment. A middle-age client reports falling asleep frequently at his job during the day, feels like he is not getting enough sleep at night (even though the number of hours of sleep is unchanged), continues to feel tired, and is not able to think clearly. Also, the client reports his wife believes he is irritable upon awakening. Nursing interventions include teaching the client to: A. ingest a small amount of alcohol prior to bedtime. B. use caution when driving an automobile. C. drink at least 1 cup of coffee with the evening meal. D. change bedtime to later in the evening.

B. use caution when driving an automobile.

A nurse is caring for a client newly diagnosed with sleep apnea. Which should the nurse teach the client about the most important reason why the continuous positive air pressure (CPAP) device should be used during sleep? A. "By maintaining the oxygen in your body during sleep other health problems can be avoided." B. "Using the CPAP will increase your energy during the day by allowing you to sleep at night." C. "The CPAP assures you get enough oxygen throughout the night." D. "The CPAP prevents you from snoring so your spouse can sleep."

C. "The CPAP assures you get enough oxygen throughout the night."

The nurse is caring for a client who reports an inability to sleep. Which education provided by the nurse promotes sleep hygiene? A. Eat two oranges at bedtime, as vitamin C promotes sleep. B. Ensure adequate exposure to natural sunlight during the day. C. Take a tepid bath at bedtime to lower body temperature. D. Drink a warm beverage at bedtime such as hot tea or coffee.

Ensure adequate exposure to natural sunlight during the day.