ATI Engage Fundamentals: Comfort, Rest, and Sleep (With Rationale)

ATI Engage Fundamentals: Comfort, Rest, and Sleep (With Rationale) A nurse is collecting data from a client who reports difficulty staying awake during the day and experiencing involuntary episodes of lost muscle tone. The nurse should identify that these are manifestations of which of the following conditions? A. Hypersomnia B. Narcolepsy (NT2) C. Narcolepsy (NT1) D. Insomnia C. Narcolepsy (NT1) The nurse should identify that the client is exhibiting manifestations of narcolepsy (NT1). Narcolepsy (NT1) is a chronic sleep condition that is characterized by sudden sleepiness and sudden periods of sleep accompanied by cataplexy, or episodes of involuntary loss of muscle tone brought on by strong emotions, such as laughter. Clients who have narcolepsy (NT1) with cataplexy lack hypocretin in their central nervous system. Clients who have both NT1 and NT2 narcolepsy might experience nocturnal hallucinations, paralysis while asleep, and vivid dreams. A nurse is contributing to the plan of care for a client who is postoperative. Which of the following interventions should the nurse recommend including to promote emotional comfort for the client? A. Encourage the client to verbalize their needs and concerns. B. Limit time spent with client. C. Ask the client to splint the incision when coughing. D. Administer pain medications as prescribed. A. Encourage the client to verbalize their needs and concerns. The nurse should encourage the client to verbalize their needs and concerns. Listening to the client's concerns and incorporating those concerns into the plan of care promotes client comfort by allowing the client to feel valued and that they are a vital part of the process. A nurse is caring for a client who has a new prescription for a nonbenzodiazepine hypnotic to promote sleep. For which of the following adverse affects should the nurse monitor the client? A. Retrograde amnesia B. Urinary discomfort C. Dry mouth D. Hallucinations D. Hallucinations The nurse should monitor the client for hallucinations, which can be an adverse effect of nonbenzodiazepine hypnotics.