Sleep And Sleep Disorders

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Question 1
Free
Multiple Choice

The nurse is caring for a client in the ambulatory care setting who has chronic insomnia. Which of the following interventions should the nurse do initially?

Choose correct answer/s
A

Schedule a polysomnography (PSG) study.

B

Arrange for the client to have a sleep study.

C

Ask the client to keep a 2-week sleep diary.

D

Teach the client about the use of an actigraph.

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Question 2
Free
Multiple Choice

Which instruction will the nurse include when teaching a client with chronic insomnia about ways to improve sleep quality?

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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.

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Question 3
Free
Multiple Choice

After the nurse has taught a client about the use of extended-release zopiclone for insomnia, which client statement indicates a need for further teaching?

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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."

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Question 4
Free
Multiple Choice

Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill client in the intensive care unit (ICU)?

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A

Ask all visitors to leave the ICU for the night.

B

Lower the level of light from 8:00 P.M. until 7:00 A.M.

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.

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Question 5
Free
Multiple Choice

Which information will the nurse plan to include when teaching a client with narcolepsy about management of the disorder?

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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.

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Question 6
Multiple Choice

Which action by the nurse manager of an acute care unit will improve the alertness of nurses who work the night shift?

Choose correct answer/s
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.
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Question 7
Multiple Choice

The nurse takes the health history for four clients in the clinic. Which information regarding the clients' sleep is most important to communicate to the health care provider?

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A
A 21-year-old student takes melatonin to assist in sleeping when travelling from Canada to Europe.
B
A 32-year-old who is experiencing a stressful week uses diphenhydramine 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 client's snoring.
D
A 64-year-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning.
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Question 8
Multiple Choice

Which of these actions should the nurse take first for a client in the clinic who is complaining of insomnia and daytime fatigue?

Choose correct answer/s
A
Question the client about the use of over-the-counter (OTC) sleep aids.
B
Suggest that the client decrease intake of caffeine-containing beverages.
C
Advise the client to get out of bed if unable to fall asleep in 10-20 minutes.
D
Recommend that the client use any prescribed sleep aids for only 2-3 weeks.
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Question 9
Multiple Choice

Aclient 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?

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A
Teach about radiofrequency ablation.
B
Plan to schedule a nighttime PSG study.
C
Ask the client whether the CPAP is being used every night.
D
Discuss the possible surgical approaches used for sleep apnea.
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Question 10
Multiple Choice

The nurse is providing a health-promotion session to young adults who have difficulty sleeping at night and has instructed them to limit their caffeine intake. Which of the following beverages have 50 mg or more of caffeine? (Select all that apply.)

Choose correct answer/s
A
Green tea (237 mL)
B
Dr. Pepper soda (237 mL)
C
Chocolate cake (5 cm square)
D
Brewed coffee (237 mL)
E
Black tea (237 mL)
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Question 11
Multiple Choice

The nurse is caring for a client who has sleep deprivation and teaching about the effects that lack of sleep can have on the body. Which of the following information would be included in the teaching plan for this client? (Select all that apply.)

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A
Decreased insulin resistance
B
Increased growth hormone
C
Increased risk of type 2 diabetes
D
Irritability, moodiness
E
Increased risk of gastro-esophageal reflux disease (GERD)
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