ch. 9 MJ Flashcards
To assist in determining whether a patient seen in the ambulatory care setting has chronic insomnia, the nurse will initially
a. schedule a polysomnography (PSG) study.
b. arrange for the patient to have a sleep study.
c. ask the patient to keep a 2-week sleep diary.
d. teach the patient about the use of an actigraph.
c. ask the patient to keep a 2-week sleep diary.
Which instruction will the nurse include when teaching a patient with chronic insomnia about ways to improve sleep quality?
a. Avoid aerobic exercise during the day.
b. Read in bed for a few minutes each night.
c. Keep the bedroom temperature slightly warm.
d. Try to go to bed at the same time every evening.
d. Try to go to bed at the same time every evening.
After the nurse has taught a patient about the use of extended-release zolpidem (Ambien CR) for insomnia, which patient statement indicates a need for further teaching?
a. “I will take the medication an hour before bedtime.”
b. “I should take the medication on an empty stomach.”
c. “I should not take this medication unless I can sleep for at least 6 hours.”
d. “I will schedule activities that require mental alertness for later in the day.”
a. “I will take the medication an hour before bedtime.”
Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill patient in the intensive care unit (ICU)?
a. Ask all visitors to leave the ICU for the night.
b. Lower the level of light from 8:00 PM until 7:00 AM.
c. Avoid the use of opioids for pain relief during the evening hours.
d. Schedule assessments to allow at least 4 hours of uninterrupted sleep.
b. Lower the level of light from 8:00 PM until 7:00 AM.
Which information will the nurse plan to include when teaching a patient with narcolepsy about management of the disorder?
a. Stimulant drugs should be used for only a short time because of the risk for abuse.
b. Driving an automobile may be possible with appropriate treatment of narcolepsy.
c. Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.
d. Antidepressant drugs are prescribed to treat the depression caused by the disorder.
b. Driving an automobile may be possible with appropriate treatment of narcolepsy.
Which action by the nurse manager of an acute care unit will improve the alertness of nurses who must work the night shift?
a. Arrange for older staff members to work most night shifts.
b. Provide a sleeping area for staff to use for napping at night.
c. Post reminders about the relationship of sleep and alertness.
d. Schedule nursing staff to rotate day and night shifts monthly.
b. Provide a sleeping area for staff to use for napping at night.
The nurse takes the health history for four patients in the clinic. Which information regarding the patients’ sleep is most important to communicate to the health care provider?
a. A 21-year-old student takes melatonin to assist in sleeping when traveling from the United States to Europe.
b. A 32-year-old who is experiencing a stressful week uses diphenhydramine (Benadryl) for several nights.
c. A 41-year-old with a body mass index (BMI) of 42 kg/m2 says that the spouse complains about the patient’s snoring.
d. A 64-year-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning.
c. A 41-year-old with a body mass index (BMI) of 42 kg/m2 says that the spouse complains about the patient’s snoring.
Which of these actions should the nurse take first for a patient in the clinic who is complaining of insomnia and daytime fatigue?
a. Question the patient about the use of over-the-counter (OTC) sleep aids.
b. Suggest that the patient decrease intake of caffeine-containing beverages.
c. Advise the patient to get out of bed if unable to fall asleep in 10 to 20 minutes.
d. Recommend that the patient use any prescribed sleep aids for only 2 to 3 weeks.
a. Question the patient about the use of over-the-counter (OTC) sleep aids
A patient with sleep apnea who received a new prescription for a continuous positive airway pressure (CPAP) device a week ago returns to the clinic and says that severe daytime fatigue is still a problem. Which action should the nurse take first?
a. Teach about radiofrequency ablation.
b. Plan to schedule a night time PSG study.
c. Ask the patient whether the CPAP is being used every night.
d. Discuss the possible surgical approaches used for sleep apnea
c. Ask the patient whether the CPAP is being used every night.
