Deck 33: Sleep

Question 1

Which assessment finding indicates to the nurse why the patient is having difficulty sleeping at night?

A) The patient follows an organic,low-carbohydrate diet.
B) The patient enjoys doing crossword puzzles and reading.
C) The patient's job includes many hours of hard labor each day.
D) The patient now works in Alaska with extended daylight hours.

Answer 1

The patient now works in Alaska with extended daylight hours.

Question 2

Which nighttime activity will keep the patient from being able to fall asleep easily?

A) Doing crossword puzzles on a tablet computer
B) Turning down the temperature in the bedroom
C) Listening to recordings of soothing classical music
D) Always going to bed at approximately the same time

Answer 2

Doing crossword puzzles on a tablet computer

Question 3

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

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

Answer 3

History of cervical spine degeneration

Question 4

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?

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 5

Which assessment finding indicates that the patient's CPAP is effectively treating the patient's sleep apnea?

A) The patient is able to fall asleep within 30 minutes of going to bed.
B) The patient is getting an average of 7 to 8 hours of sleep each night.
C) The patient does not require trazodone to fall asleep.
D) The patient sleeps through the night without having to get up and urinate.

Question 6

Which bedtime action by the nurse may make it more difficult for the patient to fall asleep?

A) Giving the patient a gentle backrub
B) Providing a warm cup of hot chocolate
C) Encouraging the patient to use the bathroom
D) Giving the patient an extra blanket when cold

Question 7

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

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 8

Which assessment is most important to determine if a patient is receiving sufficient sleep?

A) Sleep-wake pattern
B) Frequency of nocturia
C) Hours of sleep each night
D) Whether the patient feels rested

Question 9

Which is the highest priority nursing diagnosis for a patient who developed sleep-related eating disorder when taking zolpidem?

A) Risk for falls related to ambulating to kitchen while asleep
B) Wandering related to cognitive impairment from sleeping aid
C) Powerlessness related to inability to keep from eating during sleep
D) Risk for imbalanced nutrition: more than body requirements related to sleep eating

Question 10

Which nursing intervention is appropriate for a postoperative patient with a history of sleep apnea?

A) Padded side rails
B) Bedside commode
C) Continuous pulse oximetry
D) Suction equipment at bedside

Question 11

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

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 12

Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?

A) A small night-light left on in the bedroom.
B) The patient's bed is in high position with side rails up.
C) All clutter is removed between the bed and the bathroom.
D) Call bell at the bedside for the patient to contact the nurse.

Question 13

Which assessment findings lead the nurse to suspect that the patient has obstructive sleep apnea?

A) Daytime sleepiness,snoring,and obesity
B) Insomnia,inability to concentrate,and anemia
C) Early morning awakening,shift work,and attention deficit disorder (ADD)
D) Latex allergy,stressful career,and recent divorce

Question 14

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

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

Question 15

Which is the priority nursing diagnosis for an adolescent who gets up at 5:00 a.m.every morning for school and studies until midnight every night?

A) Fatigue related to insufficient rest and stress of academic demands
B) Risk for injury related to inattention and excessive daytime sleepiness
C) Deficient diversional activity related to lack of time for recreation and leisure
D) Impaired social interaction related to time required to study and maintain grades

Question 16

Which is the appropriate outcome for a patient with the nursing diagnosis insomnia related to overwhelming parental and job responsibilities?

A) The patient will sleep longer throughout the night.
B) The patient will wake up more refreshed in the morning.
C) The patient will fall asleep within 30 minutes of going to bed.
D) The patient will take a warm bath nightly before going to bed.

Question 17

Which nursing intervention is appropriate for a patient with a history of parasomnia?

A) Use of a bed alarm during the night
B) Padded side rails for the patient's bed
C) Use of a CPAP machine during the night
D) Continuous pulse oximetry during the night

Question 18

Which is the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea?

A) Risk for impaired skin integrity related to tight-fitting mask on face
B) Impaired bed mobility related to presence of CPAP mask on face
C) Health-seeking behaviors related to expressed desire for better sleep
D) Risk for powerlessness related to inability to breathe regularly during sleep

Question 19

Which outcome is most appropriate for the patient with the nursing diagnosis insomnia related to night shift work?

A) The patient will rotate day/night work shifts frequently.
B) The patient will obtain at least 48 hours of sleep per week.
C) The patient will use caffeine sparingly to wake up before shifts.
D) The patient will use bright lights to stay awake through the night.

Question 20

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?

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 21

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

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 22

The nurse is reviewing a patient's medical history.Which medication findings are likely to cause insomnia?

A) Takes a beta-adrenergic blocker
B) Takes a muscle relaxant
C) Has antihistamine abuse
D) Has a diuretic ordered in the

Question 23

A nurse is caring for a patient who suffers from a sleep pattern disturbance.To promote adequate sleep,what are the most appropriate nursing interventions?

A) Provide personal hygiene before bedtime.
B) Straighten and change any soiled bed linens.
C) Assist the patient to use the toilet before bed.
D) Administer sleep aids every night at the same time.
E) Synchronize the schedule for medications and vital signs.

Question 24

Which bedtime snack will best help the patient to fall asleep easily?

A) Bowl of cereal with milk
B) Ham sandwich,fruit,and juice
C) Glass of red wine with wheat crackers
D) Chocolate chip cookies and a cup of hot tea

Question 25

How can the nurse best assist a hospitalized young child to fall asleep?

A) Eliminate a daytime nap.
B) Offer the child warm chocolate milk.
C) Maintain the child's home bedtime routine.
D) Allow the child to sleep longer in the morning.

Question 26

Why will the patient with sleep apnea be encouraged to use the CPAP machine while in the hospital after surgery?

A) It will keep the patient in deep levels of REM,which will decrease the need for pain medication.
B) It will help decrease noise from the roommate and hospital environment that may keep the patient awake.
C) The patient needs ventilator support owing to the increased chance of postoperative respiratory complications.
D) The patient needs to follow the same bedtime routine to promote a safe environment for sleep.

Question 27

A nurse has been temporarily assigned to the night shift.A change in this circadian rhythm may cause which of the following?

A) Anxiety
B) Weight gain
C) Decreased appetite
D) Impaired judgment
E) Increased periods of sleep