Exam 90: Sleep

The nurse is caring for a patient who is having trouble sleeping.To encourage decreased stimulus to the reticular activating system and activation of the bulbar synchronizing region,which actions would the nurse implement?

The nurse assigns a nursing diagnosis of ineffective breathing pattern.Which of the following sleep conditions would support this diagnosis?

The patient presents to the clinic with reports of irritability,being sleepy during the day,not being able to fall asleep,and being tired.Select the most appropriate nursing diagnosis.

The patient and the nurse discuss the need for sleep.After the discussion,the patient is able to state factors that hinder sleep.Which statements indicate that the patient has a good understanding of sleep?

The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center.Which of these statements by the nurses would best indicate that learning has occurred?

The nurse is caring for a postpartum patient.The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time.What is the most appropriate nursing diagnosis?

The nurse is caring for a patient who has been in holding in the emergency department for 24 hours.The nurse is concerned about the patient experiencing sleep deprivation.What would be the best action for the nurse to take?

Which nursing observation of the patient in intensive care indicates that the patient is sleeping comfortably?

A community health nurse is providing an educational session at the senior center on how to promote sleep.Which practices should the nurse recommend?

A young mother has been hospitalized for an irregular heartbeat (arrhythmia).The night nurse comes in to see the patient awake.What would be the most appropriate nursing intervention?

The older patient is visiting the clinic after a fall during the night.Which of the following data points obtained most likely would contribute to this fall?

The nurse is caring for a patient in the sleep lab.The nurse recognizes that the patient is in stage 4 NREM from which of the following assessments?

The nurse is beginning a sleep assessment on a patient.Which of the following would be the most appropriate question to ask?

The nurse is caring for a patient in the intensive care unit who is having trouble sleeping.The nurse explains the purpose of sleep and its benefits.What points should the nurse include in her teaching?

The nurse is completing a sleep assessment on a patient.The nurse utilizes which of the following tools to complete the assessment?

The nurse is having a conversation with an adolescent regarding the need for sleep.The adolescent states that it is common to stay up with friends several nights a week.Which nursing action should the nurse take?

Which of the following would be most important for the nurse to monitor in a patient who has obstructive sleep apnea?

The nurse is preparing an older patient's evening medications.Which of the following does the nurse recognize as relatively safe for difficulty sleeping?

The nurse is caring for a patient on the medical-surgical unit who is experiencing an exacerbation of asthma.Which of the following interventions would be most appropriate to help the patient sleep?

The nurse is caring for an adolescent who is complaining of difficulty falling asleep.Which intervention would be most appropriate?