sleepy Flashcards
1.A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What
is thebestinitialaction for the nurse to take in determining whether this patient has chronic
insomnia?
Ask the patient to keep a 2-week sleep diary.
2.A patient with chronic insomnia asks the nurse about ways to improve sleep quality. What is
the nurse’sbestresponse?
d. Try to go to bed at the same time every evening.
3.Which patient statement indicates a need for further teaching about extended-release zolpidem
(Ambien CR)?
a. “I will take the medication an hour before bedtime.”
4.The nurse cares for a critically ill patient in the intensive care unit (ICU). Which intervention
should the nurse include in the plan of care to improve this patient’s sleep quality?
b. Lower the level of lights from 8:00PMuntil 7:00AM.
5.What teaching should be included in the plan of care for a patient with narcolepsy?
a. Driving an automobile may be possible with appropriate treatment of narcolepsy.
6.The nurse manager of a medical/surgical unit wants to improve the alertness of nurses who
work the night shift. Which action will be themosthelpful?
b. Provide a sleeping area for staff to use for napping at night.
7.Which information regarding a patient’s sleep ismostimportant for the nurse to communicate
to the health care provider?
41-year-old librarian who has a body mass index (BMI) of 42 kg/m2says that the spouse
complains about snoring
8.A patient complains of insomnia and daytime fatigue. What is thefirstaction the nurse should
take in addressing the patient’s concerns?
a. Question the patient about the use of over-the-counter (OTC) sleep aids.
9.A patient with sleep apnea who uses a continuous positive airway pressure (CPAP) device is
preparing to have inpatient surgery. Which instructions should the nurse provide to the patient?
Remind the patient to take the CPAP device to the hospital.
10.When caring for patients with sleep disorders, which activity can the nurse appropriately
delegate to unlicensed assistive personnel (UAP)?
d. Assist a patient to place the CPAP device correctly over the nose and mouth at bedtime.
1.Which information obtained by the nurse about an older adult who complains of occasional
insomnia indicates a need for patient teaching
c. Likes to read or watch television in bed on most evenings
Occasionally uses diphenhydramine (Benadryl) as a sleep aid
