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?
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.

Question

Quizplus · Accepted Answer

The client's BMI and snoring suggest possible sleep apnea, which can cause complications such as cardiac dysrhythmias, hypertension, and right-sided heart failure. Melatonin is safe to use as a therapy for jet lag. Short-term use of diphenhydramine in young adults is not a concern. Hot chocolate contains only 5 mg of caffeine and is unlikely to be affecting this client's sleep quality.

The Nurse Takes the Health History for Four Clients in the Clinic