Question 1

A client tells the nurse about having problems falling and staying asleep.What should the nurse ask the client to gain more information about this client problem?
Standard Text: Select all that apply.

Accepted Answer

The answer of A client tells the nurse about having...

Question 2

The nurse is assessing a client in the intensive care unit who is asleep.What physiological changes will the nurse observe in this client?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is assessing a client in...

Question 3

A client has not had uninterrupted sleep for several nights,and is irritable.What other assessment findings should the nurse associate with the client's lack of REM sleep?
Standard Text: Select all that apply.

Accepted Answer

The answer of A client has not had uninterrupted sleep...

Question 4

A client reports the need to urinate during the night and then not being able to fall back asleep.The nurse should document this assessment finding as which factor that influences sleep?

Accepted Answer

Nocturia, or the need to urinate during the night, is often associated with certain illnesses or medical conditions, which can disrupt sleep patterns.

Question 5

A client with diabetes asks the nurse why his blood glucose level is higher on days when he sleeps less.What should the nurse explain to the client?

Accepted Answer

During sleep, the hormone cortisol is inhibited, which helps to regulate blood glucose levels. If sleep is interrupted, cortisol levels will remain elevated, impacting blood glucose levels.

Question 6

The nurse,seeing a client asleep,turns off the television in the room.The client opens her eyes and says "I was watching that.I wasn't sleeping." The nurse realizes that the client was demonstrating which stage of NREM sleep?

Accepted Answer

The client's statement indicates that they were in stage I of NREM sleep, which is a light stage of sleep where individuals may still be partially aware of their surroundings. Turning off the television likely disrupted their sleep and caused them to wake up.

Question 7

The parent of a preschool-age child asks the nurse what can be done to reduce the number of nightmares the child experiences.What should the nurse suggest to this parent?

Accepted Answer

Limiting or eliminating television before bedtime can help reduce the number of nightmares a child experiences. Television shows, especially those that are scary or intense, can stimulate the child's imagination and contribute to nightmares. Providing hot chocolate or playing a computer game before bedtime are not recommended as they can actually increase arousal and make it harder for the child to fall asleep. Engaging in a physical activity before bedtime is not recommended as it can increase arousal and make it harder for the child to fall asleep.

Question 8

A hospitalized client is being woken up every hour during the night for care and procedures.The nurse realizes that the lack of NREM sleep can have which physiological effect?

Accepted Answer

Lack of NREM sleep can impair the immune system, leading to an increased susceptibility to infection.

Question 9

A client who smokes cigarettes tells the nurse that sleep is light,and that he awakens easily.What should the nurse suggest to help this client with sleep?

Accepted Answer

Nicotine is a stimulant and can interfere with sleep. Suggesting the client to smoke no cigarettes after the evening meal would help decrease the amount of nicotine in their system and potentially improve their sleep quality.

Question 10

A client is working two jobs,caring for aged parents,and maintaining a household for the family.The nurse realizes that this emotional stress will have what impact on the client's sleep?

Accepted Answer

Emotional stress can lead to a decrease in deep sleep and an increase in awakenings during the night. This is because the body remains in a state of arousal, making it more difficult for the individual to achieve deep, restful sleep. Additionally, the stress can lead to an increase in cortisol levels, which can interfere with sleep patterns. Less Stage 1 and Stage II NREM sleep may also occur, but this is not the best choice as the primary impact of emotional stress on sleep. More NREM sleep or more REM sleep are also unlikely outcomes of emotional stress.

Question 11

The nurse suspects that an adult is not getting an adequate amount of nightly sleep.What information caused the nurse to have this suspicion?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse suspects that an adult is...

Question 12

After an assessment,the nurse is concerned that an older client is experiencing changes in sleep.What findings did the nurse use to make this clinical decision?
Standard Text: Select all that apply.

Accepted Answer

The answer of After an assessment,the nurse is concerned that...

Quiz 45: Activity and Exercise

A client tells the nurse about having problems falling and staying asleep.What should the nurse ask the client to gain more information about this client problem? Standard Text: Select all that apply.

The nurse is assessing a client in the intensive care unit who is asleep.What physiological changes will the nurse observe in this client? Standard Text: Select all that apply.

A client has not had uninterrupted sleep for several nights,and is irritable.What other assessment findings should the nurse associate with the client's lack of REM sleep? Standard Text: Select all that apply.