The nurse understands that the most vivid dreaming occurs during:
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Solution
REM sleep
Although dreams occur during both NREM and REM sleep, the dreams of REM sleep are more vivid and elaborate and are believed to be functionally important to learning, memory processing, and adaptation to stress.
When assessing a client for obstructive sleep apnea (OSA), the nurse understands the most common symptom is:
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Solution
Excessive daytime sleepiness
Excessive daytime sleepiness is the most common complaint of people with OSA. Persons with severe OSA may report taking daytime naps and experiencing a disruption in their daily activities because of sleepiness.
The nurse teaches the mother of a newborn that in order to prevent sudden infant death syndrome (SIDS) the best position to place the baby after nursing is (select all that apply):
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Solution
Answer: 1, 3, and 4
These symptoms are often reported by clients with insomnia. Clients report nonrestorative sleep. Arising once at night to urinate (nocturia) is not in and of itself insomnia.
The nurse recognizes that a client is experiencing insomnia when the client reports (select all that apply):
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Solution
Answer: 1, 3, and 4
These symptoms are often reported by clients with insomnia. Clients report nonrestorative sleep. Arising once at night to urinate (nocturia) is not in and of itself insomnia.
To assist an adult client to sleep better the nurse recommends which of the following? (Select all that apply.)
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Solution
Consuming a small glass of warm milk at bedtime
A small glass of milk relaxes the body and promotes sleep.
Which of the following medications are the safest to administer to adults needing assistance in falling asleep?
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Solution
Benzodiazepines
The group of drugs that are the safest are the benzodiazepines. They facilitate the action of the neurons in the central nervous system (CNS) that suppress responsiveness to stimulation, therefore decreasing levels of arousal.
The nurse is sure to implement strategies to reduce noise on the unit particularly on the ______ night of admission, when the client is especially sensitive to hospital noises.
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Solution
1st
The client is most sensitive to noise in the hospital setting the first night because everything is new. This represents sensory overload, which interferes with sleep and decreases rapid eye movement (REM) as well as total sleep time.
The nurse finds a client sleep walking down the unit hallway. An appropriate intervention the nurse implements is:
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Solution
Lightly tapping the client on the shoulder and leading him or her back to bed
The nurse should not startle the client but should gently awaken the client and lead him or her back to bed.
When analgesics are ordered for a client with obstructive sleep apnea (OSA) following surgery, the nurse is most concerned about:
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Solution
Opioids
Clients with obstructive sleep apnea are particularly sensitive to opioids. Thus the risk of respiratory depression is increased. The nurse must recognize that clients with OSA should start out receiving very low doses of opioids.
To validate the suspicion that a married male client has sleep apnea the nurse first:
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Solution
Schedules the client for a sleep test
(2 – Although this is a diagnostic tool, the first thing the nurse would do is question the spouse. This may lead to determining whether more tests are needed).