Clients With Sleep And Rest Disorders And Fatigue

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Question 1
Free
Multiple Choice

The substance produced in the body that acts a strong sleep inducer is

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A

acetylcholine.

B

melanin.

C

melatonin.

D

serotonin.

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Question 2
Free
Multiple Choice

During rapid eye movement (REM) sleep, there is an increase in the neurotransmitter

Choose correct answer/s
A

acetylcholine.

B

dopamine.

C

norepinephrine.

D

serotonin.

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Question 3
Free
Multiple Choice

Most sleeping time is spent in

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A

REM sleep.

B

stages 1 and 2 sleep.

C

stage 4 sleep.

D

very light sleep.

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Question 4
Free
Multiple Choice

A client with emphysema reports fatigue and non-refreshing sleep. The nurse explains that emphysema will affect sleep in that the client will have

Choose correct answer/s
A

a longer sleep latency period.

B

limited time spent in slow-wave sleep.

C

difficulty in maintaining slow-wave sleep.

D

difficulty in maintaining REM sleep.

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Question 5
Free
Multiple Choice

The nurse arranges the client care to prevent waking the older adult because the sleep patterns of older clients are characterized by

Choose correct answer/s
A

increased REM sleep.

B

increased time spent in stage 1 sleep.

C

increased time spent in stage 4 sleep.

D

decrease in time to fall asleep.

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Question 6
Multiple Choice

A client with severe emphysema had a myocardial infarction and is hospitalized on the telemetry unit. The night nurse notices that the client has frequent dysrhythmias. The priority action for the nurse would be to check the client's

Choose correct answer/s
A
cardiac enzymes.
B
electrocardiogram.
C
electrolyte values.
D
oxygen saturation.
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Question 7
Multiple Choice

The nurse explains that clients with narcolepsy often also experience cataplexy, which is a/an

Choose correct answer/s
A
inability to move for several minutes on awakening.
B
seizure-like episode with tonic and clonic movements.
C
sudden loss of muscle tone that lasts for several minutes.
D
trance-like period of 5 minutes or more.
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Question 8
Multiple Choice

A client has mild obstructive sleep apnea syndrome (OSAS). The nursing teaching plan should include information regarding

Choose correct answer/s
A
alternate sleeping positions.
B
breathing exercises.
C
foods high in vitamin B2.
D
scheduling regular naps.
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Question 9
Multiple Choice

The nurse explains to a client with periodic limb movement disorder that the drug that might be helpful in alleviating the clinical manifestations of this sleeping disorder is

Choose correct answer/s
A
amitriptyline (Elavil).
B
carbidopa/levodopa (Sinemet).
C
fluoxetine (Prozac).
D
haloperidol (Haldol).
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Question 10
Multiple Choice

During assessment of a client who complains of frequent sleep starts, the nurse should question the client regarding

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A
alcohol intake.
B
caffeine intake.
C
food intake before bedtime.
D
medication intake.
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Question 11
Multiple Choice

The nurse explains to a client with severe depression and who takes tricyclic antidepressants that the effectiveness of this type of medication may be a result of

Choose correct answer/s
A
increased stage 4 sleep.
B
prevention of night awakenings.
C
prevention of sleep terrors.
D
suppression of REM sleep.
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Question 12
Multiple Choice

After a client's discharge from the critical care unit to the step-down unit after a myocardial infarction, the nurse assesses the client carefully during sleep because

Choose correct answer/s
A
anxiety relative to the recent myocardial infarct may cause sleep disorders.
B
apnea is more common immediately after myocardial infarction.
C
breathing abnormalities may result in hypoxia.
D
REM rebound may occur, placing greater demands on the heart.
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Question 13
Multiple Choice

When a client who has severe gastroesophageal reflux during sleep asks how to improve sleep, the nurse would suggest that the client

Choose correct answer/s
A
avoid antacid use.
B
decrease caffeine intake.
C
eat six small meals a day.
D
raise the head of the bed on blocks.
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Question 14
Multiple Choice

The nurse would explain to a client with a sleep disorder that alcohol intoxication

Choose correct answer/s
A
decreases REM sleep.
B
increases sleep latency.
C
increases stage 4 sleep.
D
promotes periodic limb movements.
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Question 15
Multiple Choice

A client with chronic fatigue syndrome is crying and says "I can't do anything anymore. I can't even walk up a flight of stairs because I am so tired all the time. My spouse thinks I am just lazy, but I simply can't do anything that requires physical activity." Nursing interventions for this client should focus on

Choose correct answer/s
A
discovering the cause of the fatigue and correcting it.
B
helping the client manage and cope effectively.
C
showing the client how to plan and group activities.
D
working with the client to improve communicating needs to the spouse.
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Question 16
Multiple Choice

When a client tells the nurse that she has been experiencing early-morning awakening, the nurse should assess the client for manifestations of

Choose correct answer/s
A
depression.
B
psychophysiologic insomnia.
C
respiratory problems.
D
sleep deprivation.
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Question 17
Multiple Choice

To best promote improved sleep patterns for the hospitalized client, the nurse should

Choose correct answer/s
A
administer mild sleeping medications.
B
limit television and radio music during the night.
C
provide a light, complex-carbohydrate snack.
D
wake the client only during REM sleep.
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Question 18
Multiple Choice

The nurse teaching a client with narcolepsy should include the

Choose correct answer/s
A
importance of avoiding caffeine.
B
need to increase exercise.
C
proper way to use continuous positive-airway pressure (CPAP).
D
recommendation to take regular naps.
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Question 19
Multiple Choice

A hospitalized client complains that the loud noise and activity outside the room hinders sleep. The physician leaves an order for a hypnotic agent. The night nurse administering this medication needs to monitor client safety afterwards because these medications may cause (Select all that apply)

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A
antegrade amnesia.
B
hangover effects.
C
increased falls and hip fractures.
D
less time in REM sleep.
E
restless leg syndrome.
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Question 20
Multiple Choice

A nurse is teaching a community group good sleep hygiene practices. Steps that individuals can take to improve their sleep include (Select all that apply)

Choose correct answer/s
A
allowing for one or two restful daytime naps per day.
B
avoiding vigorous exercise within 3 hours of bedtime.
C
establishing a regular bedtime routine associated with preparing for sleep.
D
if you wake at night, work quietly in bed and avoid getting up.
E
maintaining a regular sleep-wake pattern throughout the week.
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