Question 1

Why is it important for a postoperative patient to get enough sleep after being discharged from the hospital?

Accepted Answer

A)  Sleep restores biological processes. 
B)  Sleep stimulates appetite on waking. 
C)  Sleep causes a mental and physiological calm. 
D)  Sleep produces dreams that decrease epinephrine. 
A)  Sleep restores biological processes. 
B)  Sleep stimulates appetite on waking. 
C)  Sleep causes a mental and physiological calm. 
D)  Sleep produces dreams that decrease epinephrine.

Question 2

The nurse is caring for a patient with congestive heart failure.The patient reports frequently waking up at night gasping for air.What is the cause of the patient's awakenings?

Accepted Answer

A)  The patient is going to bed too early every night. 
B)  The patient consumed caffeine just before going to bed. 
C)  The patient consumed too much fiber before going to bed. 
D)  The pulse,respirations,and blood pressure drop during sleep. 
A)  The patient is going to bed too early every night. 
B)  The patient consumed caffeine just before going to bed. 
C)  The patient consumed too much fiber before going to bed. 
D)  The pulse,respirations,and blood pressure drop during sleep.

Question 3

Which intervention is most appropriate to treat ongoing insomnia for a middle-aged adult with a busy career?

Accepted Answer

A)  Obtain a prescription for zolpidem to be taken at bedtime. 
B)  Suggest having warm milk with a shot of whisky before going to bed. 
C)  Encourage the patient to practice peaceful meditation before bedtime. 
D)  Recommend the use of sleep aids such as triazolam. 
A)  Obtain a prescription for zolpidem to be taken at bedtime. 
B)  Suggest having warm milk with a shot of whisky before going to bed. 
C)  Encourage the patient to practice peaceful meditation before bedtime. 
D)  Recommend the use of sleep aids such as triazolam.

Question 4

What is the best intervention to help a school-age child fall asleep at night?

Accepted Answer

A)  Encourage exercise in the evening to promote fatigue. 
B)  Provide the child with a high-protein snack before bed. 
C)  Have the parent read a quiet bedtime story to the child. 
D)  Have the child complete homework before going to bed. 
A)  Encourage exercise in the evening to promote fatigue. 
B)  Provide the child with a high-protein snack before bed. 
C)  Have the parent read a quiet bedtime story to the child. 
D)  Have the child complete homework before going to bed.

Question 5

Which is the safest sleep aid for the elderly patient with insomnia?

Accepted Answer

A)  Melatonin 
B)  Trazodone 
C)  Temazepam 
D)  Triazolam 
A)  Melatonin 
B)  Trazodone 
C)  Temazepam 
D)  Triazolam

Question 6

A new mother is exhausted because her 4-week-old infant is unable to sleep through the night.Which is the best recommendation of the nurse?

Accepted Answer

A)  "Try to sleep when your baby is sleeping." 
B)  "Try keeping the room warm during the night." 
C)  "Try not to let your baby nap during the day." 
D)  "Try laying the baby on his stomach at night." 
A)  "Try to sleep when your baby is sleeping." 
B)  "Try keeping the room warm during the night." 
C)  "Try not to let your baby nap during the day." 
D)  "Try laying the baby on his stomach at night."

Question 7

Which patient assessment finding leads the nurse to suspect that the patient may have central sleep apnea?

Accepted Answer

A)  Use of nicotine chewing gum to stop smoking 
B)  History of iron deficiency anemia and hemoglobin 13 g/dL 
C)  History of cervical spine degeneration 
D)  Use of nitrofurantoin to treat urinary tract infection 
A)  Use of nicotine chewing gum to stop smoking 
B)  History of iron deficiency anemia and hemoglobin 13 g/dL 
C)  History of cervical spine degeneration 
D)  Use of nitrofurantoin to treat urinary tract infection

Exam 33: Sleep

Why is it important for a postoperative patient to get enough sleep after being discharged from the hospital?

The nurse is caring for a patient with congestive heart failure.The patient reports frequently waking up at night gasping for air.What is the cause of the patient's awakenings?

Which intervention is most appropriate to treat ongoing insomnia for a middle-aged adult with a busy career?

What is the best intervention to help a school-age child fall asleep at night?

Which is the safest sleep aid for the elderly patient with insomnia?

A new mother is exhausted because her 4-week-old infant is unable to sleep through the night.Which is the best recommendation of the nurse?

Which patient assessment finding leads the nurse to suspect that the patient may have central sleep apnea?

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