Exam 8: Sleep and the Older Adult

An older client who is hospitalized has been having difficulty sleeping since admission and is prescribed a low dose of zolpidem (Ambien). Why is the nurse most concerned about administering this medication?

An older client with sleep apnea is prescribed continuous positive airway pressure (CPAP). What will the nurse explain to the client about this treatment? Select all that apply.

An older client is being prescribed medication to help with sleep. What is most important for the nurse to teach a group of orienting nurses caring for geriatric clients?

The nurse is assessing an older client who wakes up during the night. Which finding does the nurse identify as the greatest risk factor for disturbed sleep?

An older client is diagnosed with sleep apnea. Which interventions can the nurse add to the client's care plan to address this health problem? Select all that apply.

The nurse assesses a client before bedtime. The spouse at bedside jokes about the client's snoring. Which assessment finding most concerns the nurse?

An older client has been reading about the use of melatonin for sleep. Which statement best indicates to the nurse that the client understands instruction about taking this supplement?

The nurse is caring for an older client who is experiencing sleep deprivation due to a prolonged stay in intensive care. Which manifestation is the nurse most likely to observe in this client?

How should the nurse explain rapid eye movement (REM) sleep to an older client?

An older client is having difficulty sleeping. What can the nurse instruct the client to help improve the client's sleep? Select all that apply.

An older client with difficulty sleeping wants to use an herbal remedy to help getting to sleep since problems with hay fever and nasal congestion are interfering with "drifting off" at night. Which herbal remedy should the nurse caution the client to avoid?

An older client in a long-term care facility does not sleep much at night and prefers to stay up late reading. The client takes "power naps" during the day. How should the nurse respond to this client's plan to acquire adequate sleep?

Which actions should the nurse take to ensure effective sleep for older clients in a long-term care facility? Select all that apply.

The nurse is planning care for an older client who reports interrupted sleep. Which assessment findings most concern the nurse? Select all that apply.

The nurse is concerned that an older client with dementia is receiving psychotropic medications for sleep. Which assessment findings best indicate the client is experiencing side effects? Select all that apply.

During a routine physical examination, an older client reports having problems falling asleep at night despite engaging in vigorous activities to become tired in the evening. How should the nurse respond to the client?

An older client reports insomnia. What is the best suggestion the nurse can offer this client?

The nurse is implementing sleep restriction therapy with an older client. What intervention will be performed to support this plan of treatment?

The nurse is teaching an older client about an overnight sleep study to diagnose sleep apnea. What will the nurse include when teaching this client? Select all that apply.

The nurse is most concerned about which assessment finding in an older client with sleep apnea?