ATI Engage Fundamentals (Physiologic Concepts for Nursing Practice): Comfort, Rest, and Sleep (With Rationale)

ATI Engage Fundamentals (Physiologic Concepts for Nursing Practice): Comfort, Rest, and Sleep (With Rationale) A nurse is contributing to a presentation about non pharmacological interventions used to promote sleep. Which of the following information should the nurse recommend including in the presentation? a. Non pharmacological interventions should only be practiced in the clients home setting. b. Massage is a non pharmacological intervention that should be used to promote sleep for clients who are taking anticoagulants. c. Non-pharmacological interventions used to help promote sleep include acupuncture and thermotherapy. d. Before implementing nonpharmalogical interventions, clients should be evaluated by a sleep specialist for sleep apnea and chronic lung disease. c. Non-pharmacological interventions used to help promote sleep include acupuncture and thermotherapy. Nonpharmacological interventions should only be practiced in the client's home setting.Nonpharmacological interventions can be practiced in medical facilities, as long as they are not contraindicated. Massage is a nonpharmacological intervention that should be used to promote sleep for clients who are taking anticoagulants.Massage is contraindicated for clients who are taking anticoagulants, as well as clients who have burns and wounds. Nonpharmacological interventions used to help promote sleep include acupuncture and thermotherapy.MY ANSWERThe nurse should recommend including in the presentation that massage, acupuncture, and thermotherapy have been found to be effective nonpharmacological interventions for sleep. Before implementing nonpharmacological interventions, clients should be evaluated by a sleep specialist for sleep apnea and chronic lung disease.Clients will need to be educated on nonpharmacological interventions to promote sleep. Clients who require pharmacological therapy for promotion of sleep should be evaluated by a sleep specialist for sleep apnea and chronic lung disease A nurse is caring for a client who takes an over-the-counter (OTC) sleep aid medication every evening. Which of the following findings should the nurse identify as a potential adverse effect of OTC sleep aid medications? a. Hyperactivity b. Diarrhea c. Excessive salivation d. Urinary retention d. Urinary retention HyperactivityOTC sleep aid medications can cause daytime drowsiness, not hyperactivity. DiarrheaOTC sleep aid medications can cause constipation, not diarrhea. Excessive salivationOTC sleep aid medications can cause dry mouth, not excessive salivation. Urinary retentionMY ANSWERThe nurse should identify that OTC sleep aid medications can cause urinary retention, as well as daytime drowsiness, dry mouth, visual disturbances, and constipation. A nurse is caring for a client who needs to be awakened for the administration of an oral medication. Which of the following findings should indicate to the nurse that the client was in stage 3 of the sleep cycle when awakened? a. The client was easily awakened. b. The client states that they were having a pleasant dream. c. The client experiences mental cloudiness for 30 to 60 min. d. Prior to being awakened, the clients breathing was irregular and their heart rate was elevated c. The client experiences mental cloudiness for 30 to 60 min. The client was easily awakened.The nurse should identify that a client who was easily awakened was most likely in stage 1 of the sleep cycle, rather than stage 3. During stage 1 of the sleep cycle, the client begins to relax and body and eye movements begin to decrease. If left uninterrupted, the client will progress quickly to stage 2 of sleep, where awakening becomes more difficult. The client states that they were having a pleasant dream.Stage 4 of the sleep cycle, also known as rapid eye movement (REM) sleep, is the dreaming stage of sleep. If a client is awakened during this stage, their dreams will be interrupted. The client experiences mental cloudiness for 30 to 60 min.MY ANSWERStage 3 of the sleep cycle is the deepest stage of sleep in which muscle, tissue, and bones regenerate and the immune system strengthens. If a client is awakened during stage 3 of the sleep cycle, the nurse should expect the client to experience mental cloudiness for 30 to 60 min. Prior to being awakened, the client's breathing was irregular and their heart rate was elevated.Irregular breathing and increased heart rate are an indication that the client is in stage 4 of the sleep cycle, also known as rapid eye movement (REM) sleep. A nurse is caring for a client who has a history of migraines. The client tells the nurse, "I have not been sleeping well. My migraine headaches have returned after not having one for over a year." The nurse should identify that which of the following are potential contributing factors to the client's migraines? (Select all that apply) Sleep-wake homeostasis Sensory overlad Sleep deprivation Increased melatonin Decreased hypocretin levels Sensory overload Sleep deprivation MY ANSWER